J Retin.
2023 Nov;8(2):125-129. 10.21561/jor.2023.8.2.125.
Resolution of Extensive Exudative Retinal Detachment after Gamma-Knife® Radiosurgery for Refractory Diffuse Choroidal Hemangioma: Case Report
- Affiliations
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- 1Department of Ophthalmology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
- KMID: 2552101
- DOI: http://doi.org/10.21561/jor.2023.8.2.125
Abstract
- Purpose
We report a case of complete resolution of extensive exudative retinal detachment following Gamma-Knife® radiosurgery (GKR) for diffuse choroidal hemangioma (DCH) with limited response to photodynamic therapy and intravitreal anti-vascular endothelial growth factor (anti-VEGF) injection.
Case Summary
A 28-year-old man with Sturge-Weber syndrome presented with a DCH and exudative retinal detachment. Several intravitreal anti-VEGF injections and sessions of photodynamic therapy were used to induce regression of retinal detachment, but the response was limited and quickly deteriorated. Extensive exudation was completely resolved after a single GKR.
Conclusions
GKR could be an effective treatment option for DCH patients with extensive exudative retinal detachment who have a limited response to photodynamic therapy and intravitreal anti-VEGF injections.
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