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Keywords:

  • choroidal haemangioma;
  • photodynamic therapy;
  • treatment;
  • visual acuity;
  • echography

ABSTRACT.

Purpose:  To assess the efficacy of photodynamic therapy (PDT) as a new treatment for circumscribed choroidal haemangioma (CCH).

Methods:  Eight patients with CCH were treated with PDT using a protocol similar to that used in the standard treatment of neovascular age-related macular degeneration.

Results:  Visual acuity improved in six of eight eyes, remained unchanged in one eye and deteriorated in one eye after 3–15 months (median 7 months) follow-up. Pre-treatment metamorphopsia disappeared in all but two cases. The thickness of the CCH measured with standardized echography showed marked regression within 1 month after PDT. In six eyes there was no remaining protrusion after PDT and one lesion was barely detectable. One patient experienced a transient choroidal effusion and perifoveal haemorrhage.

Conclusion:  Photodynamic therapy is a promising new treatment for CCH as it restores visual function in most cases without causing apparent ocular or systemic side-effects.