Journal List > J Korean Ophthalmol Soc > v.54(1) > 1009533

Noh, Sagong, and Chang: Three Cases of Vasoproliferative Tumor of the Retina

Abstract

Purpose

Vasoproliferative tumor of the retina (VPTR) is a histologically benign lesion that can lead to visual loss due to associated complications. Herein, the authors report the clinical presentation, treatment, and prognosis of 3 VPTR cases.

Case summary

Three eyes of 3 patients with VPTR were enrolled in the present study. The patients' fundoscopic feature showed characteristic elevated lesions of the peripheral retina without previous history of ocular disease. The patients included 2 males and 1 female, with an average age of 44.7 years. Fluorescein angiography (FAG) and indocyanine green angiography (ICGA) were helpful in establishing the diagnosis of VPTR. Additionally, 1 patient underwent ultrasonography and 2 patients underwent magnetic resonance imaging (MRI). During the follow-up period, subtenon triamcinolone acetonide injection was performed for 1 patient with macular edema, and cryotherapy was performed for 1 patient with increased peripheral exudation.

Conclusions

For an adequate diagnosis of VPTR, careful examination of the peripheral retina is important. In addition, FAG/ICGA and ultrasonography can be helpful in VPTR diagnosis. Furthermore, proper treatment according to each subset of complication during the follow-up period is recommended.

References

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Figure 1.
(A) Homogenous creamy yellow colored fine mass in inferotemporal peripheral retina. (B) and (D) FAG finding. Dilated and obscured vessels with hyperfluorescence on mass lesion. There were neither abnormal feeding vessels nor dilated vessels in surrounding mass lesion. (C) and (E) ICGA finding. Blocked fluorescence associated with tumor showing no abnormal choroidal vessels.
jkos-54-170f1.tif
Figure 2.
Optical coherence tomographic finding. Maular edema with thin epiretinal membrane.
jkos-54-170f2.tif
Figure 3.
(A) Well visualized retinal mass through relative clear vitreous cavity 1 month after subtenon's triamcinolone aceteonide injection. (B) Optical coherence tomographic finding. Absorbed macular edema one month after subtenon's triamcinolone aceteonide injection.
jkos-54-170f3.tif
Figure 4.
(A) Homogenous creamy yellow colored mass in inferotemporal peripheral retina. (B) FAG finding. Dilated and obscure vessels with hyperfluorescence on mass lesion. There were neither abnormal feeding vessels nor dilated vessels in surrounding mass lesion. (C) ICGA finding. Blocked fluorescence associated with tumor showing no abnormal choroidal vessels.
jkos-54-170f4.tif
Figure 5.
Stable mass lesion without any complication for 6 months.
jkos-54-170f5.tif
Figure 6.
(A) Homogenous creamy yellow colored fine mass with surrounding exudates and photocoagulation scar in inferonasal peripheral retina. (B) and (C) Normal macular appearance. (D) FAG finding. Dilated and obscured vessels with hyperfluorescence on mass lesion and visible photo-coagulation scar. There were neither abnormal feeding vessels nor dilated vessels in surrounding mass lesion. (E) ICGA finding. Blocked fluorescence associated with subretinal exudates and photocoagulation scar showing no abnormal choroidal vessels.
jkos-54-170f6.tif
Figure 7.
(A) Increased thick exudates toward optic disc but no evidence of macular involvement. (B) One month after cryotherapy, slightly decreased density of exudates toward optic disc.
jkos-54-170f7.tif
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