bounes aires 2015 different surgical strategies for the treatment … · 2018-03-05 · different...
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Different Surgical Strategies for the Treatment of Retinal
Hemangioblastomas
DR. ŞENGÜL ÖZDEK
www.sengulozdek.com
Gazi University, School of Medicine, Department of Ophthalmology, Ankara, Turkey
Bounes Aires 2015
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Retinal Hemangioblastoma
Benign vascular hamartoma
54% sporadic
46% VHL
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If untreated: gradually grow
Vitreous hemorrhage
Macular edema
ERM
Exudative and tractional RD
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Treatment
Depends on the location and size of the
tumor
Laser photocoagulation, Cryotherapy
TTT, Radiotherapy, PDT
IV Anti-VEGFs
VRS
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Case 1
37y old male, one eyed
Fellow eye: lost following a VRS for
angioma elsewhere before.
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Preop VA: 20/60
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Postop 1 mo VA: 20/25
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Postop VA: 9th month 20/25
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1st year
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2 years: VA 0.3
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Retinal Angioma Excision
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VA: 0.3
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Case 2
16y old boy
VHL
2 cranial operations for cerebellar
hemangioblastoma
Abdominal USG: N
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Preop VA: HM
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Postop VA: 1st week 20/200
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Postop VA: 1st month 20/100
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After silicon oil removal