Dr. ASHOK KUMAR

Dr.(maj) Shankar Sandeep, Dr.Sanjay Kumar Mishra, Dr. (Lt.Col) PONINDER KUMAR DOGRA

Abstract

Purpose-To evaluate the safety and efficacy of half fluence photodynamic therapy for symptomatic peripapillary circumscribed choroidal hemangiomas (CCHs).

Methods- 11 patients with peripapillary CCHs were treated with half fluence PDT with fluence of 25mJ/cm2 (standard-50mJ/cm2) . Patients were evaluated at 4 weeks, 12 weeks and 24 weeks post PDT with best corrected visual acuity (BCVA), ultrasonography, SD-OCT & visual evoked potential.

Results-The BCVA significantly improved to 0.441+0.125 at 24 weeks (P=0.007 ) from baseline levels of 1.017+ 0.075um. Central macular thickness also showed improvement to 174.60+23.13um (P=0.001 ) at 24 weeks. A single session of retreatment was required in 2 patients(18%) which also showed complete resolution. No procedure related complications were observed.

Conclusions- Half fluence PDT can be an effective and safe treatment option for peripapillary CCHs

which results in both anatomical and functional improvements with no observable complications.

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