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Esteban-Floría O, Pérez-Rivasés G, Honrubia-Grijalbo A, Bartolomé-Sesé I, Díaz-Barreda MD, Boned-Murillo A, Cisneros-Arias P, Mateo-Gabás J, Ascaso-Puyelo FJ. Three-Year Follow-Up Detecting Choroidal Neovascularization with Swept Source Optical Coherence Tomography Angiography (SS-OCTA) after Successful Half-Fluence Photodynamic Therapy for Chronic Central Serous Chorioretinopathy. Diagnostics (Basel) 2023; 13:2792. [PMID: 37685332 PMCID: PMC10486620 DOI: 10.3390/diagnostics13172792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Revised: 08/18/2023] [Accepted: 08/27/2023] [Indexed: 09/10/2023] Open
Abstract
Purpose: To assess the clinical course, structural changes, and choroidal neovascularization detection by SS-OCTA in long-standing and resolved patients with chronic central serous chorioretinopathy (cCSC) after successful half-fluence photodynamic therapy (hf-PDT) treatment. Methods: Twenty-four eyes presenting with cCSC were examined with SS-OCTA and were classified as choroidal neovascular (CNV) or non-choroidal neovascular (non-CNV) cCSC depending on the vascular pattern detected by SS-OCTA after one, two, and three years after hf-PDT. Two groups were compared based on the following clinical findings: demographic characteristics, time of clinical signs, best corrected visual acuity (BCVA), central retinal thickness (CRT), central choroidal thickness (CFT), subretinal fluid (SRF), flat, irregular pigment epithelial detachment (FIPED), and features of fluorescein angiography (FA) and vascular pattern by SS-OCTA. Results: All patients showed resolved cCSC during follow-up after hf-PDT. A total of 5 of 24 (20.8%) eyes showed a neovascular pattern by SS-OCTA. No differences between BCVA, CRT, SRF, FIPED, or FA features were found between both groups (p > 0.05). However, CFT and older age were associated with a neovascular pattern by SS-OCTA (p < 0.05) in follow-up. No signs of neovascular activity were detected by SS-OCT during follow-up in CNV cCSC patients, and no antiVEGF treatment was required for three-year follow-ups. Conclusions: Despite patients with cCSC showing a favorable clinical response after hf-PDT, lower foveal thickness and older age were associated with CNV patterns by SS-OCTA during follow-up.
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Affiliation(s)
- Olivia Esteban-Floría
- Department of Ophthalmology, Hospital Clínico Universitario Lozano Blesa, 50009 Zaragoza, Spain; (O.E.-F.); (A.H.-G.); (I.B.-S.); (M.D.D.-B.); (A.B.-M.); (P.C.-A.); (J.M.-G.); (F.-J.A.-P.)
- Aragon Health Research Institute (IIS Aragón), 50009 Zaragoza, Spain
| | - Guillermo Pérez-Rivasés
- Department of Ophthalmology, Hospital Clínico Universitario Lozano Blesa, 50009 Zaragoza, Spain; (O.E.-F.); (A.H.-G.); (I.B.-S.); (M.D.D.-B.); (A.B.-M.); (P.C.-A.); (J.M.-G.); (F.-J.A.-P.)
- Aragon Health Research Institute (IIS Aragón), 50009 Zaragoza, Spain
| | - Ana Honrubia-Grijalbo
- Department of Ophthalmology, Hospital Clínico Universitario Lozano Blesa, 50009 Zaragoza, Spain; (O.E.-F.); (A.H.-G.); (I.B.-S.); (M.D.D.-B.); (A.B.-M.); (P.C.-A.); (J.M.-G.); (F.-J.A.-P.)
- Aragon Health Research Institute (IIS Aragón), 50009 Zaragoza, Spain
| | - Isabel Bartolomé-Sesé
- Department of Ophthalmology, Hospital Clínico Universitario Lozano Blesa, 50009 Zaragoza, Spain; (O.E.-F.); (A.H.-G.); (I.B.-S.); (M.D.D.-B.); (A.B.-M.); (P.C.-A.); (J.M.-G.); (F.-J.A.-P.)
- Aragon Health Research Institute (IIS Aragón), 50009 Zaragoza, Spain
| | - María Dolores Díaz-Barreda
- Department of Ophthalmology, Hospital Clínico Universitario Lozano Blesa, 50009 Zaragoza, Spain; (O.E.-F.); (A.H.-G.); (I.B.-S.); (M.D.D.-B.); (A.B.-M.); (P.C.-A.); (J.M.-G.); (F.-J.A.-P.)
| | - Ana Boned-Murillo
- Department of Ophthalmology, Hospital Clínico Universitario Lozano Blesa, 50009 Zaragoza, Spain; (O.E.-F.); (A.H.-G.); (I.B.-S.); (M.D.D.-B.); (A.B.-M.); (P.C.-A.); (J.M.-G.); (F.-J.A.-P.)
| | - Pablo Cisneros-Arias
- Department of Ophthalmology, Hospital Clínico Universitario Lozano Blesa, 50009 Zaragoza, Spain; (O.E.-F.); (A.H.-G.); (I.B.-S.); (M.D.D.-B.); (A.B.-M.); (P.C.-A.); (J.M.-G.); (F.-J.A.-P.)
| | - Javier Mateo-Gabás
- Department of Ophthalmology, Hospital Clínico Universitario Lozano Blesa, 50009 Zaragoza, Spain; (O.E.-F.); (A.H.-G.); (I.B.-S.); (M.D.D.-B.); (A.B.-M.); (P.C.-A.); (J.M.-G.); (F.-J.A.-P.)
- Aragon Health Research Institute (IIS Aragón), 50009 Zaragoza, Spain
| | - Francisco-Javier Ascaso-Puyelo
- Department of Ophthalmology, Hospital Clínico Universitario Lozano Blesa, 50009 Zaragoza, Spain; (O.E.-F.); (A.H.-G.); (I.B.-S.); (M.D.D.-B.); (A.B.-M.); (P.C.-A.); (J.M.-G.); (F.-J.A.-P.)
- Aragon Health Research Institute (IIS Aragón), 50009 Zaragoza, Spain
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Boned-Murillo A, Diaz-Barreda MD, Honrubia-Grijalbo A, Esteban-Floria O, Ascaso Puyuelo FJ. Choroidal Hemangioma Associated with Hepatic Hemangioma: A Case Report and Literature Review. Case Rep Ophthalmol 2021; 12:425-432. [PMID: 34054496 PMCID: PMC8136322 DOI: 10.1159/000514374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2020] [Accepted: 01/10/2021] [Indexed: 11/19/2022] Open
Abstract
Circumscribed choroidal hemangioma (CCH) is a rare congenital ocular tumor type that is usually benign and asymptomatic. CCH has only been reported once previously in the literature in association with a visceral neoplasm. Here, we present a newly described association between CCH and hepatic hemangioma (HH). We report the case of a 57-year-old woman diagnosed with asymptomatic HHs who presented with a 2- to 3-month history of central scotoma and blurred vision in her left eye. Assessment identified an orange-red elevated lesion with a central serous retinal detachment and subretinal edema. Complementary tests suggested a CCH. To our knowledge, CCH has only been reported once previously in association with a visceral neoplasm, making this newly described association between CCH and HH of clinical relevance. Ophthalmologists should be aware of the possible association between CCH and other visceral tumors as this association offers an opportunity for the early detection of this pathology.
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Affiliation(s)
- Ana Boned-Murillo
- Department of Ophthalmology, Lozano Blesa University Clinic Hospital, Zaragoza, Spain
| | | | - Ana Honrubia-Grijalbo
- Department of Ophthalmology, Lozano Blesa University Clinic Hospital, Zaragoza, Spain.,Aragon Health Research Institute (IIS Aragon), Zaragoza, Spain
| | - Olivia Esteban-Floria
- Department of Ophthalmology, Lozano Blesa University Clinic Hospital, Zaragoza, Spain
| | - Francisco Javier Ascaso Puyuelo
- Department of Ophthalmology, Lozano Blesa University Clinic Hospital, Zaragoza, Spain.,Aragon Health Research Institute (IIS Aragon), Zaragoza, Spain
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