25-gauge vitrectomy combined with half-fluence photodynamic therapy for the treatment of juxtapapillary retinal capillary hemangioma: a case report.

[von hippel-lindau disease]

A rare case of juxtapapillary retinal capillary hemangioma (JRCH ) with tractional macular detachment that was managed successfully with minimally invasive 25 -gauge vitreoretinal surgery , followed by two sessions of half -fluence photodynamic treatment (PDT ) with good visual outcome , is presented . A 13 -year -old female patient had progressive deterioration of the vision of her right eye due to the presence of tractional macular detachment associated with JRCH in von Hippel-Lindau (VHL ) disease . A 25 -gauge sutureless vitreoretinal surgery was successfully performed . Two months following surgery , the JRCH was treated with two sessions of half -fluence PDT at an interval of 4 months . Visual acuity improved from a preoperative level of 20 /50 to 20 /25 24 months postoperatively . Resolution of the tractional macular detachment , reduction of papillomacular area fluid , and reduction in size of the JRCH were observed during the follow-up period . No serious adverse events were observed . Small -gauge vitreoretinal surgery followed by PDT can be effective and safe in relieving tractional macular detachment and recovering useful visual acuity in JRCH in VHL disease .

Diseases
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Diseases presenting "year-old female patient" symptom

adrenal incidentaloma

aniridia

benign recurrent intrahepatic cholestasis

cowden syndrome

cushing syndrome

epidermolysis bullosa simplex

esophageal squamous cell carcinoma

holt-oram syndrome

krabbe disease

lamellar ichthyosis

liposarcoma

lymphangioleiomyomatosis

malignant atrophic papulosis

monosomy 21

neuralgic amyotrophy

oculocutaneous albinism

oligodontia

oral submucous fibrosis

proteus syndrome

pyomyositis

sneddon syndrome

thoracic outlet syndrome

triple a syndrome

von hippel-lindau disease

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