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[Two cases of treatment for juxtapapillary hemangioma associated with von Hippel-Lindau disease].
[von hippel-lindau disease]
We
compared
therapeutic
outcomes
in
two
cases
of
juxtapapillary
capillary
hemangiomas
associated
with
von
Hippel-
Lindau
disease
.
Case
1
was
a
47
-
year
-old
man
whose
left
eye
was
blind
due
to
proliferative
vitreoretinopathy
.
Visual
acuity
of
the
right
eye
was
1
.
2
.
No
exudative
change
was
found
,
but
the
juxtapapillary
retinal
hemangioma
was
enlarged
.
Three
injections
of
intravitreal
bevacizmab
were
not
effective
and
laser
photocoagulation
was
performed
.
Humphry
microperimetry
revealed
a
decreased
sensitivity
corresponding
to
the
papillo-
macular
bundle
damage
.
Vision
was
restored
with
regression
of
the
retinal
hemangioma
.
Case
2
was
a
36
-
year
-old
woman
with
bilateral
visual
acuity
of
1
.
2
.
The
right
eye
had
an
inferior
juxtapapillary
retinal
hemangioma
at
the
optic
disc
surrounded
by
exudative
retinal
detachment
.
Laser
photocoagulation
,
intravitreal
injection
of
bevacizmab
,
transpapillary
thermotherapy
,
photodynamic
therapy
,
and
vitrectomy
were
performed
,
but
vision
decreased
to
0
.
02
.
Photocoagulation
in
the
early
stage
of
juxtapapillary
hemangioma
before
development
of
exudative
detachment
may
preserve
visual
acuity
.
