Dr. PRAGN MEHTA

Dr. RAJESH RAMANJULU, Dr. MAHESH P. SHANMUGAM, Dr. DIVYANSH MISHRA, DR. VIVEK CHAITANYA

Abstract

A 27/F presented with blurred vision Her BCVA was OD 6/18 and OS 6/12. Examination showed posteriorly located retinal capillary haemangioma (RCH) of 1.5DD with macular edema (IRF with NSD on OCT), exudative detachment and vitreous haemorrhage in OD. The OS fundus also showed RCH of 1DD with ERM and full thickness macular hole.

Treating RCH is a complex process especially with posterior located ones. Since the tumor was not amenable for standard laser treatment and non-availability of PDT, alternative treatment modality was adapted. OD was injected with IVTA (4mg/1 ml) which resulted in complete regression of the IRF and SRF within 5 days. Additional TTT was done to RCH to achieve regression. OS treated with vitrectomy with ERM and ILM peel with gas with diode endolaser to the tumor.

Conclusion – Intravitreal Triamcinolone acetonide causes decrease in tumor activity and rapid regression of edema, while TTT serves as a potential treatment modality for posteriorly located large RCH.