Dr. Vishal Raval

, Dr.Srishti Ramamurthy

Abstract

Purpose: To demonstrate a unique surgical technique in management of retinal capillary hemangioma

Methods: A surgical video-based presentation

Results: A 42-year-old woman was diagnosed with a solitary large retinal capillary hemangioma associated with localised tractional retinal detachment and massive exudation in the macular area. The patient’s workup was negative for Von Hippel-Lindau syndrome.

This video demonstrates a unique surgical technique of 25G chandelier assisted bimanual vitrectomy highlighting feeder vessel ligation, followed by en bloc transcleral endoresection of the tumor with clinicopathological correlation. Surgical pearls during the various steps of surgery are highlighted in this video.

Conclusions: Surgical treatment for large and complex retinal capillary hemangioma is challenging. Bimanual feeder vessel ligation and endoresection of tumor can be an effective treatment in such cases, achieving long term anatomical success