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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
Validation
Diseases presenting
"macular detachment"
symptom
coats disease
von hippel-lindau disease
waldenström macroglobulinemia
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