J Retin.  2023 Nov;8(2):125-129. 10.21561/jor.2023.8.2.125.

Resolution of Extensive Exudative Retinal Detachment after Gamma-Knife® Radiosurgery for Refractory Diffuse Choroidal Hemangioma: Case Report

• Yeom H
• Lee JY

• KMID: 2552101
• DOI: http://doi.org/10.21561/jor.2023.8.2.125

Abstract

Purpose
We report a case of complete resolution of extensive exudative retinal detachment following Gamma-Knife® radiosurgery (GKR) for diffuse choroidal hemangioma (DCH) with limited response to photodynamic therapy and intravitreal anti-vascular endothelial growth factor (anti-VEGF) injection.
Case Summary
A 28-year-old man with Sturge-Weber syndrome presented with a DCH and exudative retinal detachment. Several intravitreal anti-VEGF injections and sessions of photodynamic therapy were used to induce regression of retinal detachment, but the response was limited and quickly deteriorated. Extensive exudation was completely resolved after a single GKR.
Conclusions
GKR could be an effective treatment option for DCH patients with extensive exudative retinal detachment who have a limited response to photodynamic therapy and intravitreal anti-VEGF injections.

Keyword

Choroidal hemangioma; Exudative retinal detachment; Gamma-knife radiosurgery; Sturge-Weber syndrome