Author: Matteo Mario Carla
Co-authors: Tomaso Caporossi, Gloria Gambini, Umberto De Vico, Antonio Baldascino, Federico Giannuzzi, Francesco Boselli, Stanislao Rizzo
Abstract
Purpose: To report a case of large unresponsive retinal capillary hemangioblastoma (RCH), already treated with plaque brachytherapy and anti-VEGF, and complicated by an exudative retinal detachment, in which surgical vessel ligature was able to solve the exudative retinal detachment, even without a simultaneous tumor resection.Methods: Case report
Results:Two weeks after the surgical procedure, the submacular fluid persisted, with the presence of adjacent vessels bypassing the ligature evident in fluorangiographic exam (FA). After 1 month, OCT showed a complete resolution of the retinal detachment and the absence of exudation with the shunts that were supposed to bypass the ligature found obliterated at FA. No signs of exudation or recurrence of retinal detachment were found also at the 9-month follow up.
Conclusion: In the setting of a young age patient with RCH, the transretinal ligature of the afferent vessel is an effective option to keep surgery as minimally invasive as possible, but may also become a rescue therapy in cases in which other options (such as brachytherapy) have failed.
Surgical video available
