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Posters

Clinical manifestation and therapeutic implication of combined effects of laser photocoagulation,intravitreal bevacizumab and post subtenon triamcinolone acetonide in cases of retinal capillary haemangioma

Poster Details

First Author: N.Qureshi PAKISTAN

Co Author(s):    S. Zafar   A. Pathan   S. Islam   N. Qureshi         0   0 0   0 0   0 0   0 0

Abstract Details



Purpose:

To describe the clinical features, visual and therapeutic outcome of patients with retinal capillary haemangiomas.

Setting:

Patients attending out patient department of Al Shifa Trust Eye Hospital , Rawalpindi ,Pakistan

Methods:

A prospective, non-comparative, observational case study of three patients diagnosed as retinal capillary haemangioma, was conducted. Two patients with peripheral hemangioma were given intravitreal Bevacizumab (IVB), posterior subtenon Triamcinolone (PST) and multiple session of Laser photo coagulation on the lesion and over the feeder vessels. But one patient with juxtapapilary capillary hemangioma, only IVB and IVT was given. Pre- and post-treatment best corrected visual acuity (BCVA) measurement, anterior and post segment examination with investigation like FFA ,OCT ,B-Scan and Color Fundus Photograph (CFP) were recorded. All patients underwent MRI brain, abdominal ultrasound and complete blood count for systemic association of the disease.

Results:

Laser photocoagulation was complicated by subretinal hemorrhage. exudates and macular edema. In subsequent follow up visual acuity improved after resolving macular edema and regression of the lesions Patients with juxtapapillary haemangioma had variable visual outcomes and visual field defects during follow up.

Conclusions:

Early diagnosis of capillary hemangiomas in the retinal periphery and treatment by focal laser and intravitreal Bevacizumab and Post subtenon triamcinolone showed good visual outcomes, while juxta-papillary haemangioma had guarded visual prognosis

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