Treatment of retinal capillary hemangioma using 810 nm infrared laser
Aim: Presentation of the efficacy of infrared laser for the treatment of retinal capillary hemangioma (RCH). Methods: The treatment and follow-up of nine eyes (fourteen tumors of different sizes and localizations) in seven patients (five children) with RCH. Infrared diode laser (810 nm) was used for...
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| Format: | Article |
| Language: | English |
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Palacký University Olomouc, Faculty of Medicine and Dentistry
2018-11-01
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| Series: | Biomedical Papers |
| Subjects: | |
| Online Access: | https://biomed.papers.upol.cz/artkey/bio-201804-0012_treatment_of_retinal_capillary_hemangioma_using_810_nm_infrared_laser.php |
| _version_ | 1818656121221545984 |
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| author | Pavel Pochop Martina Kodetova Dagmar Dotrelova |
| author_facet | Pavel Pochop Martina Kodetova Dagmar Dotrelova |
| author_sort | Pavel Pochop |
| collection | DOAJ |
| description | Aim: Presentation of the efficacy of infrared laser for the treatment of retinal capillary hemangioma (RCH). Methods: The treatment and follow-up of nine eyes (fourteen tumors of different sizes and localizations) in seven patients (five children) with RCH. Infrared diode laser (810 nm) was used for modified transpupillary thermotherapy (TTT) in long exposition mode and power between 200 and 1200 mW with a beam diameter of 2 mm (indirect ophthalmoscope, +28 D or +40 D lens) or 0.5 mm-3 mm (slit-lamp) depending on the diameter and localisation of the hemangioma. Results: We achieved complete destruction of the tumor with flat chorioretinal atrophic scar in all cases. Only one tumor regrowth was observed and re-treatment in this case was necessary. Treatment was combined with brachytherapy in a one case. There was one serious complication- total exudative retinal detachment, causing permanent deterioration in visual acuity despite pars plana vitrectomy (PPV). Other complications such as haze and vitreal hemorrhage were transient. The final best corrected visual acuity (BCVA) ranged from 20/20 to counting fingers at 2 feet. Conclusion: Infrared laser can be considered an acceptable therapeutic option for RCH especially for centrally localized lesions. We believe that the role of this therapy will increase in the future. |
| first_indexed | 2024-12-17T03:20:33Z |
| format | Article |
| id | doaj.art-9d4c441e0ed841939c2bdb8dfe837e09 |
| institution | Directory Open Access Journal |
| issn | 1213-8118 1804-7521 |
| language | English |
| last_indexed | 2024-12-17T03:20:33Z |
| publishDate | 2018-11-01 |
| publisher | Palacký University Olomouc, Faculty of Medicine and Dentistry |
| record_format | Article |
| series | Biomedical Papers |
| spelling | doaj.art-9d4c441e0ed841939c2bdb8dfe837e092022-12-21T22:05:32ZengPalacký University Olomouc, Faculty of Medicine and DentistryBiomedical Papers1213-81181804-75212018-11-01162432432810.5507/bp.2018.019bio-201804-0012Treatment of retinal capillary hemangioma using 810 nm infrared laserPavel Pochop0Martina Kodetova1Dagmar Dotrelova2Department of Ophthalmology for Children and Adults, Second Faculty of Medicine, Charles University, Prague and University Hospital Motol, Prague, Czech RepublicDepartment of Ophthalmology for Children and Adults, Second Faculty of Medicine, Charles University, Prague and University Hospital Motol, Prague, Czech RepublicDepartment of Ophthalmology for Children and Adults, Second Faculty of Medicine, Charles University, Prague and University Hospital Motol, Prague, Czech RepublicAim: Presentation of the efficacy of infrared laser for the treatment of retinal capillary hemangioma (RCH). Methods: The treatment and follow-up of nine eyes (fourteen tumors of different sizes and localizations) in seven patients (five children) with RCH. Infrared diode laser (810 nm) was used for modified transpupillary thermotherapy (TTT) in long exposition mode and power between 200 and 1200 mW with a beam diameter of 2 mm (indirect ophthalmoscope, +28 D or +40 D lens) or 0.5 mm-3 mm (slit-lamp) depending on the diameter and localisation of the hemangioma. Results: We achieved complete destruction of the tumor with flat chorioretinal atrophic scar in all cases. Only one tumor regrowth was observed and re-treatment in this case was necessary. Treatment was combined with brachytherapy in a one case. There was one serious complication- total exudative retinal detachment, causing permanent deterioration in visual acuity despite pars plana vitrectomy (PPV). Other complications such as haze and vitreal hemorrhage were transient. The final best corrected visual acuity (BCVA) ranged from 20/20 to counting fingers at 2 feet. Conclusion: Infrared laser can be considered an acceptable therapeutic option for RCH especially for centrally localized lesions. We believe that the role of this therapy will increase in the future.https://biomed.papers.upol.cz/artkey/bio-201804-0012_treatment_of_retinal_capillary_hemangioma_using_810_nm_infrared_laser.phpretinal capillary hemangiomainfrared diode lasertranspupillary thermotherapytreatmentvon hipple-lindau |
| spellingShingle | Pavel Pochop Martina Kodetova Dagmar Dotrelova Treatment of retinal capillary hemangioma using 810 nm infrared laser Biomedical Papers retinal capillary hemangioma infrared diode laser transpupillary thermotherapy treatment von hipple-lindau |
| title | Treatment of retinal capillary hemangioma using 810 nm infrared laser |
| title_full | Treatment of retinal capillary hemangioma using 810 nm infrared laser |
| title_fullStr | Treatment of retinal capillary hemangioma using 810 nm infrared laser |
| title_full_unstemmed | Treatment of retinal capillary hemangioma using 810 nm infrared laser |
| title_short | Treatment of retinal capillary hemangioma using 810 nm infrared laser |
| title_sort | treatment of retinal capillary hemangioma using 810 nm infrared laser |
| topic | retinal capillary hemangioma infrared diode laser transpupillary thermotherapy treatment von hipple-lindau |
| url | https://biomed.papers.upol.cz/artkey/bio-201804-0012_treatment_of_retinal_capillary_hemangioma_using_810_nm_infrared_laser.php |
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