Optical coherence tomography angiography imaging features of isolated choroidal hemangioma_Chinese Journal of Ocular Fundus Diseases

Authors：

Yang Tingting , Zhao Yue ,  Yao Jin

The Affiliated Eye Hospital of Nanjing Medical University, Nanjing 210029, China;

Corresponding author：

Yao Jin, Email: dryaojin@126.com

Keywords：

Choroid neoplasms/diagnosis; Hemangioma/diagnosis; Tomography, optical coherence

DOI：

10.3760/cma.j.cn511434-20190329-00121

Video：

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Objective To observe the OCT angiography (OCTA) imaging features of isolated choroidal hemangioma (CCH).Methods A retrospective case study. From January 2017 to February 2019, 18 CCH patients (18 eyes) diagnosed in the Affiliated Eye Hospital of Nanjing Medical University were included in the study. There were 13 males (13 eyes) and 5 females (5 eyes), with the mean age of 44.5 years. All the tumors were orange-red, with clear boundaries, located at the posterior pole or around the optic disc. OCTA was used to scan the 6 mm×6 mm of macular area or in the range of 6 mm×6 mm. After automatic image processing, the system provided the blood flow map of shallow capillary plexus, deep capillary plexus, outer retina and choroidal capillary plexus, as well as the corresponding structure en-face image and B-scan image.Results OCTA examination found that when the stratification line was adjusted to the periphery of the choroidal capillary layer, the blood flow map showed clear boundary of the tumor, and the blood vessels on the surface of the tumor presented a network crisscross with different thickness. B-scan image showed that the whole layer of retinal choroid at the tumor presented a dome-shaped uplift, and the neurocortical layer could be accompanied by thickening, subretinal effusion, exudation and splitting. En-face image showed that the boundary of the tumor was clear, the surrounding exudation was strong reflection in spots or patches, local pigmentation showed weak reflection, and the signal reflection was uneven.Conclusion OCTA can clearly show the vascular morphology on the surface of CCH.

Citation： Yang Tingting, Zhao Yue, Yao Jin. Optical coherence tomography angiography imaging features of isolated choroidal hemangioma. Chinese Journal of Ocular Fundus Diseases, 2020, 36(5): 362-365. doi: 10.3760/cma.j.cn511434-20190329-00121 Copy

1.	王越, 李廷雁, 刘亚鲁, 等. 吲哚青绿血管造影引导下光动力疗法治疗孤立性脉络膜血管瘤疗效评估[J]. 中华实验眼科杂志, 2019, 37(5): 376-381. DOI: 10.3760/cma.j.issn.2095-0160.2019.05.012.Wang Y, Li SY, Liu YL, et al. Evaluation of photodynamic therapy based on indocyanine green angiography for circumscribed choroidal hemangioma[J]. Chin J Exp Ophthalmol, 2019, 37(5): 376-381. DOI: 10.3760/cma.j.issn.2095-0160.2019.05.012.
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7.	秦学维, 谢学军, 巩固宇. 4例孤立性脉络膜血管瘤误诊分析[J]. 中国中医眼科杂志, 2016, 26(5): 301-305. DOI: 10.13444/j.cnki.zgzyykzz.2016.05.007.Qin XW, Xie XJ, Gong GY. Misdiagnosis of circumscribed choroidal hemangioma in four cases[J]. Chinese Journal of Chinese Ophthalmology, 2016, 26(5): 301-305. DOI: 10.13444/j.cnki.zgzyykzz.2016.05.007.
8.	孙河, 李睿瑞. 孤立性脉络膜血管瘤验案1例[J]. 中医眼耳鼻喉杂志, 2016, 6(1): 50. DOI: 10.3969/j.issn.1674-9006-2016.01.020.Sun H, Li RR. One case of cir cumscribed choroidal hemangioma[J]. Chin Ophthalmol & Otorhinolaryngol, 2016, 6(1): 50. DOI: 10.3969/j.issn.1674-9006-2016.01.020.
9.	文峰, 吴德正, 金陈进, 等. 孤立性脉络膜血管瘤的吲哚青绿血管造影[J]. 中华眼底病杂志, 1998, 14(2): 81-83.Wen F, Wu DZ, Jin CJ, et al. Indocyanine green angiography of circumscribed choroidal hemangiomas[J]. Chin J Ocul Fundus Dis, 1998, 14(2): 81-83.
10.	Konana VK, Shanmugam PM, Ramanjulu R, et al. Optical coherence tomography angiography features of choroidal hemangioma[J]. Indian J Ophthalmol, 2018, 66(4): 581-583. DOI: 10.4103/ijo.IJO_955_17.

1. 王越, 李廷雁, 刘亚鲁, 等. 吲哚青绿血管造影引导下光动力疗法治疗孤立性脉络膜血管瘤疗效评估[J]. 中华实验眼科杂志, 2019, 37(5): 376-381. DOI: 10.3760/cma.j.issn.2095-0160.2019.05.012.Wang Y, Li SY, Liu YL, et al. Evaluation of photodynamic therapy based on indocyanine green angiography for circumscribed choroidal hemangioma[J]. Chin J Exp Ophthalmol, 2019, 37(5): 376-381. DOI: 10.3760/cma.j.issn.2095-0160.2019.05.012.
2. Norton EW, Gutman F. Fluorescein angiography and hemangiomas of the choroid[J]. Arch Ophthalmol, 1967, 78(2): 121-125. DOI: 10.1001/archopht.1967.00980030123003.
3. Arevalo JF, Shields CL, Shields JA, et al. Circumscribed choroidal hemangioma: characteristic features with indocyanine green videoangiography[J]. Ophthalmology, 2000, 107: 344-350. DOI: 10.1016/s0161-6420(99)00051-2.
4. Stroszczynski C, Hosten N, Bornfeld N, et al. Choroidal hemangioma: MR findings and differentiation from uveal melanoma[J]. AJNR Am J Neuroradiol, 1998, 19(8): 1441-1447.
5. Rojanaporn D, Kaliki S, Ferenczy SR, et al. Enhanced depth imaging optical coherence tomography of circumscribed choroidal hemangioma in 10 consecutive cases[J]. Middle East Afr J Ophthalmol, 2015, 22(2): 192-197. DOI: 10.4103/0974-9233.150629.
6. Pitkanen L, Tommila P, Kaarniranta K, et a1. Retinal arteriaI macroaneurysms[J]. Acta Ophthalmol, 2014, 92(2): 101-104. DOI: 10.1111/aos.12210.
7. 秦学维, 谢学军, 巩固宇. 4例孤立性脉络膜血管瘤误诊分析[J]. 中国中医眼科杂志, 2016, 26(5): 301-305. DOI: 10.13444/j.cnki.zgzyykzz.2016.05.007.Qin XW, Xie XJ, Gong GY. Misdiagnosis of circumscribed choroidal hemangioma in four cases[J]. Chinese Journal of Chinese Ophthalmology, 2016, 26(5): 301-305. DOI: 10.13444/j.cnki.zgzyykzz.2016.05.007.
8. 孙河, 李睿瑞. 孤立性脉络膜血管瘤验案1例[J]. 中医眼耳鼻喉杂志, 2016, 6(1): 50. DOI: 10.3969/j.issn.1674-9006-2016.01.020.Sun H, Li RR. One case of cir cumscribed choroidal hemangioma[J]. Chin Ophthalmol & Otorhinolaryngol, 2016, 6(1): 50. DOI: 10.3969/j.issn.1674-9006-2016.01.020.
9. 文峰, 吴德正, 金陈进, 等. 孤立性脉络膜血管瘤的吲哚青绿血管造影[J]. 中华眼底病杂志, 1998, 14(2): 81-83.Wen F, Wu DZ, Jin CJ, et al. Indocyanine green angiography of circumscribed choroidal hemangiomas[J]. Chin J Ocul Fundus Dis, 1998, 14(2): 81-83.
10. Konana VK, Shanmugam PM, Ramanjulu R, et al. Optical coherence tomography angiography features of choroidal hemangioma[J]. Indian J Ophthalmol, 2018, 66(4): 581-583. DOI: 10.4103/ijo.IJO_955_17.

Chinese Journal of Ocular Fundus Diseases

Optical coherence tomography angiography imaging features of isolated choroidal hemangioma

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