Diffuse choroidal hemangioma in pregnancy: Symptomatic diffuse choroidal hemangioma spontaneously resolving postpartum.
| Autor: | Andron AA; Shaare Zedek Medical Center, Shmuel Bayit, Jerusalem, Israel., Fabian ID; Sheba Medical Center, Derech Sheba, Ramat Gan, Israel., Vishnevskia-Dai V; Sheba Medical Center, Derech Sheba, Ramat Gan, Israel. |
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| Jazyk: | angličtina |
| Zdroj: | Oman journal of ophthalmology [Oman J Ophthalmol] 2023 Oct 18; Vol. 16 (3), pp. 548-551. Date of Electronic Publication: 2023 Oct 18 (Print Publication: 2023). |
| DOI: | 10.4103/ojo.ojo_28_23 |
| Abstrakt: | We present the case of a pregnant young woman with symptomatic diffuse choroidal hemangioma (CH), diagnosed with Sturge-Weber syndrome (SWS). Three months postpartum, there was full spontaneous resolution of the subretinal fluid and improvement in the visual acuity (VA). A 29-year-old, 31-week pregnant female with a coagulation disorder and enoxaparin (clexane) treatment, complained of a left visual disturbance of 2 weeks duration. On examination, the right eye was normal; left eye VA was 6/12 (20/40) with a left eyelid port-wine stain and on funduscopic examination there was a serous retinal detachment. On ultrasound, there was diffuse thickening of the choroid with a focus superior and nasal to the disc with active vascularization - a diagnosis of diffuse CH was made. Magnetic resonance imaging (MRI) and MR venography studies of the brain and orbit revealed engorged orbital vasculature, and the diagnosis of SWS was made. Three months after Cesarean section with birth of a healthy baby boy, VA returned to 6/9 with full resorption of subretinal fluid. On fundoscopic exam, there were no retinal or vein occlutions but there were tortuous blood vessels with A-V crossing. This is a rare case of newly diagnosed SWS with symptomatic diffuse CH in pregnancy. Postpartum, there was full resolution of the subretinal fluid. A watchful waiting approach can be considered in such cases. Competing Interests: There are no conflicts of interest. (Copyright: © 2023 Oman Ophthalmic Society.) |
| Databáze: | MEDLINE |
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