A rare case report of incidental circumscribed choroidal hemangioma in a phthisical eye: An overview of clinical manifestations and histopathological diagnosis

Document Type : Original Article

Authors

1 Nalbari Medical College & Hospital

2 Sri Sankaradeva Nethralaya, Guwahati, Assam, India

3 SRi Sankaradeva Nethralaya, Guwahati, Assam, India

Abstract

Circumscribed choroidal hemangioma can mimic other conditions affecting the posterior segment of the eye, such as choroidal melanoma, melanocytoma, Coats’ disease, choroidal metastasis, central serous chorioretinopathy, or nonspecific retinal detachment. A 43-year-old woman reported experiencing significant vision loss in her right eye over the past three years. Upon slit-lamp examination, the right eye exhibited a total cataract, a shallow anterior chamber, and endophthalmos. Since the eye was no longer functional, enucleation followed by the placement of a silicone ball implant was recommended. Histopathological analysis of the removed eye revealed features consistent with phthisis bulbi and a localized overgrowth of numerous blood vessels in the choroid, indicative of a choroidal hemangioma. The presence of a choroidal capillary hemangioma in a phthisical eye is an extremely rare finding. It may lead to significant vision impairment due to secondary complications such as exudative retinal detachment, neovascular glaucoma, cataract formation, and optic nerve atrophy.

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