Purpose
To investigate features and outcomes of circumscribed choroidal hemangioma by patient age.
Methods
Retrospective review of circumscribed choroidal hemangioma from 3/29/1967–6/4/2018 based on age at presentation (≤20 vs. >20–50 vs. >50 years).
Results
There had been 458 circumscribed choroidal hemangiomas diagnosed at mean age (13 vs. forty one vs. 64 years, p < 0.001). The youngest age crew had worse offering visible acuity (20/400 vs. 20/150 vs. 20/100, p < 0.001), larger tumor basal diameter (13.5 vs. 6.6 vs. 6.2, p < 0.001), greater tumor thickness (5.8 vs. 3.1 vs. 2.9, p < 0.001), closer distance to foveola (0.5 vs. 1.4 vs. 1.2, p = 0.03), and larger extent of subretinal fluid (4 quadrants, 26% vs. 8% vs. 2%, p < 0.001). The youngest sufferers have been much less likely to be treated with important remark (39% vs. 39% vs. 56%) or photodynamic therapy (10% vs. 27% vs. 22%) and extra probably to be dealt with with plaque radiotherapy (26% vs. 6% vs. 3%) or exterior beam radiotherapy (13% vs. 1% vs. 0%) (p < 0.001). The youngest sufferers required higher total range of redress (mean 4 vs. 2 vs. 1, p < 0.001). At mean follow-up (44 vs. 68 vs. 60 months, p = 0.37), the youngest patients had worse visible acuity (20/400 vs. 20/200 vs. 20/100, p = 0.03), however no distinction in visible acuity loss of 3 or extra Snellen lines (27% vs. 13% vs. 16%, p = 0.55).
Conclusion
Younger patients (≤20 years) with circumscribed choroidal hemangioma existing with worse visible acuity and larger, greater posterior tumors. Future studies are wanted to improve early detection and cure for this subgroup of patients.
A hemangioma is a shiny purple birthmark that shows up at beginning or in the first or 2nd week of life. It appears like a rubbery bump and is made up of more blood vessels in the skin. A hemangioma can manifest anywhere on the body, but most generally appears on the face, scalp, chest or again .
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