A Case Report of Bilateral Retinal Racemose Hemangioma Restricted to Peripapillary Area

Young Jun Woo; Yoon Ha Lee; Ie Na Yoon

doi:10.3341/jkos.2011.52.11.1381

Journal List > J Korean Ophthalmol Soc > v.52(11) > 1008937

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Woo, Lee, and Yoon: A Case Report of Bilateral Retinal Racemose Hemangioma Restricted to Peripapillary Area

Original Article

J Korean Ophthalmol Soc 2011;52(11):1381-1384.

Published online: 7 September 2011

DOI: https://doi.org/10.3341/jkos.2011.52.11.1381

A Case Report of Bilateral Retinal Racemose Hemangioma Restricted to Peripapillary Area

Young Jun Woo, MD, Yoon Ha Lee, MD, Ie Na Yoon, MD

Department of Ophthalmology, Wonju Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea

Address reprint requests to Ie Na Yoon, MD Department of Ophthalmology, Wonju Christian Hospital #162 Ilsan-dong, Wonju 220-701, Korea Tel: 82-33-741-0632, Fax: 82-33-745-2965, E-mail: bswhitey@hanmail.net

Received 22 November 2010 Revised 4 April 2011 Accepted 20 September 2011

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The authors of the present case report observed a bilateral retinal racemose hemangioma which was located within the peripapillary area.

Case summary

A 17-year-old man presented with floaters in both eyes. Fundus revealed tortuous and anastomosed retinal vasculature around the optic disc. In addition, fluorescein angiography showed a non-leaking retinal arteriovenous anastomosis. Seven years after the initial visit, vitreous hemorrhage occurred in the patient's left eye, and then 1 year later, subretinal hemorrhage was found in his left eye.

Conclusions

Because retinal racemose hemangioma can accompany vitreous hemorrhage and subretinal hemorrhage regardless of size, a routine periodic ophthalmic examination is recommended.

Keywords: Bilateral retinal racemose hemangioma, Complications

References

1. Soliman W, Haamann P, Larsen M. Exudation, response to photocoagulation and spontaneous remission in a case of bilateral racemose haemangioma. Acta Ophthalmol Scand. 2006; 84:429–31.

2. Archer DB, Deutman A, Ernest JT, Krill AE. Arteriovenous communications of the retina. Am J Ophthalmol. 1973; 75:224–41.

3. Jang HS, Lee TK, Kim JW. A case of retinal racemose hemangioma. J Korean Ophthalmol Soc. 2001; 42:1232–5.

4. Shin CH, Lee SN. Wyburn-Mason syndrome: A case report. J Korean Ophthalmol Soc. 2010; 51:145–9.

5. Magnus H. Aneurysma arteriosovenosum retinale. Virchows Arch Pathol Anat Physiol. 1874; 60:38–43.

6. Mansour AM, Walsh JB, Henkind P. Arteriovenous anastomoses of the retina. Ophthalmology. 1987; 94:35–40.

7. Ferry AP. Other phakomatoses. Ryan SJ, editor. Retina. 2nd ed.St. Louis: Mosby;1994. p. 650–9.

8. Chopdar A. Racemose haemangioma. Chopdar A, editor. Fundus Fluorescein Angiography. 1st ed.Iowa City: Butterworth Heinemann;1996. p. 126–7.

9. Richard G. Racemose hemangioma. Richard G, editor. Fluorescein Angiography, Textbook and Atlas. 1st ed.New York: Thieme Medical Publishers;1990. p. 218–9.

10. Ebert EM, Albert DM. The phacomatoses. Jacobiec FA, Albert DM, editors. Principles and Practice of Ophthalmology. 2nd ed.Madison: Saunders W.B;2000. p. 5120–46.

11. Matsui M. Atlas of the Ocular Fundus. 1st ed.Seoul: Koonja;1990. p. 105–8.

12. Hsieh YT, Yang CM. The clinical study of congenital loop-ed/coiled peripapillary retinal vessels. Eye. 2005; 19:906–9.

13. Wyburn-Mason R. Arteriovenous aneurysm of midbrain and retina, facial nevi and mental changes. Brain. 1943; 66:163–203.

14. Bech K, Jensen OA. On the frequency of coexisting racemose haemangiomata of the retina and brain. Acta Psychiatr Scand. 1961; 36:47–56.

15. Shields JA, Shields CL. Other phakomatoses. Ryan SJ, editor. Retina. 4th ed.St Louis: Mosby;2006. v.1. chap.26.

16. Papageorgiou KI, Ghazi-Nouri SM, Andreou PS. Vitreous and subretinal haemorrhage: an unusual complication of retinal racemose haemangioma. Clin Experiment Ophthalmol. 2006; 34:176–7.

17. Bernth-Petersen P. Racemose haemangioma of the retina. Report of three cases with long term follow-up. Acta Ophthalmol (Copenh). 1979; 57:669–78.

18. Shah GK, Shields JA, Lanning RC. Branch retinal vein obstruction secondary to retinal arteriovenous communication. Am J Ophthalmol. 1998; 126:446–8.

Figure 1.

Fluorescein angiograms of both eyes show rapid filling of vessels, no leakage and arteriovenous anastomosis.

Figure 2.

Left two color fundus photographs show hemorrhagic complications of the left eye (A: vitreous hemorrhage, red arrow; B: subretinal hemorrhage, yellow arrow). Fluorescein angiogram (C) shows absent of new vessel or dye leakage.

Figure 3.

Color fundus photographs of both eyes show tortuosity and concentration of the peripapillary retinal vessels, but there is no complication.

TOOLS

Similar articles