Management of Choroidal Hemangioma

  • Brent E. Aebi
  • Denis JusufbegovicEmail author
Part of the Current Practices in Ophthalmology book series (CUPROP)


Choroidal hemangioma, a benign vascular tumor, exists in two clinically distinct forms as either a circumscribed or a diffuse lesion and typically involves the posterior pole. Most patients present with decreased visual acuity secondary to subretinal fluid (SRF). In addition to exam, optical coherence tomography (OCT), ultrasonography, fluorescein (FA) and indocyanine green (ICGA) angiography, and magnetic resonance imaging (MRI) all play a role in the diagnosis of choroidal hemangioma. This chapter explores various approaches to therapy, both historical and current, used to treat this choroidal tumor and secondary exudative retinal detachment (ERD). Treatment modalities include laser photocoagulation, transpupillary thermotherapy, photodynamic therapy (PDT), intravitreal anti-VEGF or steroid injection, systemic beta-blockers, plaque brachytherapy, proton beam irradiation, external beam radiotherapy, and gamma knife irradiation. There are many considerations to treatment which include size of the tumor, presence or absence of exudative retinal detachment, prior treatment failures, patient’s ability to undergo surgery, and other comorbidities. Time between onset of symptoms and treatment has been shown to affect visual prognosis.


Circumscribed choroidal hemangioma Diffuse choroidal hemangioma Choroidal mass Subretinal fluid Exudative retinal detachment Anti-VEGF Intravitreal injection Beta-blockers Propranolol Laser photocoagulation Transpupillary thermotherapy Photodynamic therapy PDT Brachytherapy External beam radiotherapy Gamma knife Proton beam radiotherapy Sturge-Weber syndrome Tumor 



Circumscribed choroidal hemangioma


Cystoid macular edema


Choroidal neovascularization


Diffuse choroidal hemangioma


Exudative retinal detachment


Fluorescein angiography


Indocyanine green angiography


Intravitreal bevacizumab


Intravitreal triamcinolone


Lens-sparing radiotherapy


Magnetic resonance imaging


Neovascularization of the disc


Retinal neovascularization elsewhere


Optical coherence tomography


Optical coherence tomography angiography


Photodynamic therapy


Retinal pigment epithelium


Subretinal fluid


Sturge-Weber syndrome


Transpupillary thermotherapy


Vascular endothelial growth factor


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© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Department of OphthalmologyIndiana University School of Medicine, Eugene and Marilyn Glick Eye InstituteIndianapolisUSA

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