Sturge-Weber Encephalotrigeminal Angiomatosis
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61-year-old man was seen in the office on 7/2/2010. He has noticed new increased floaters in the right eye: first about three days ago he had some spots, then two days ago a lot of spots, and then just yesterday an explosion of floaters in the eye. You saw a hemorrhage in the eye and suggested he come here for an evaluation. He does have Sturge-Weber syndrome with a hemangioma on the left side of his face.
VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19.
SLIT LAMP EXAM: There is 2+ nuclear sclerosis in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.4. There is 2+ vitreous hemorrhage. There is a posterior vitreous separation. There is a retinal flap tear just anterior to the equator at 9:30.
OS: Vertical C/D ratio is 0.4. There is a posterior vitreous separation. It looks to me like there is a reddish dust to the choroid just on the inferior third of the retina just below the macula and the optic nerve.
IMPRESSION:
1. ACUTE POSTERIOR VITREOUS SEPARATION – RIGHT EYE
2. VITREOUS HEMORRHAGE – RIGHT EYE
3. RETINAL TEAR – RIGHT EYE
4. POSSIBLE CHOROIDAL HEMANGIOMA – LEFT EYE
DISCUSSION: I explained to the patient that there is a vitreous separation in the right eye with vitreous hemorrhage and with a retinal tear. With the retinal tear untreated, there is about a 70-80% chance of having a retinal detachment. With treating, we can reduce the risk of retinal detachment from that tear down to 1%.
I treated him with cryotherapy today. Because he has a vitreous hemorrhage, it is a little difficult to see and also because the defect is in the far periphery.
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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Ipsilateral Diffuse Choroidal Hemangiomavaatamisi: 129461-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face.
VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19.
(1 hinnangut)
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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Ipsilateral Diffuse Choroidal Hemangiomavaatamisi: 95261-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face.
VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19.
(0 hinnangut)
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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangiomavaatamisi: 88561-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face.
VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19.
(0 hinnangut)
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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangiomavaatamisi: 92161-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face.
VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19.
(0 hinnangut)
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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangiomavaatamisi: 111761-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face.
VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19.
(0 hinnangut)
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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangiomavaatamisi: 189461-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face.
VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19.
(0 hinnangut)
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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangiomavaatamisi: 118561-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face.
VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19.
(0 hinnangut)
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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangiomavaatamisi: 140161-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face.
VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19.
(1 hinnangut)
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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangiomavaatamisi: 78161-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face.
VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19.
(0 hinnangut)
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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangiomavaatamisi: 88761-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face.
VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19.
(0 hinnangut)
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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangiomavaatamisi: 86861-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face.
VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19.
(0 hinnangut)
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Sturge-Weber Encephalotigeminal Angiomatosis - Facial Hemangioma and Asymptomatic Ipsilateral Diffuse Choroidal Hemangiomavaatamisi: 75761-year-old man with Sturge-Weber syndrome with a hemangioma on the left side of his face.
VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19.
(0 hinnangut)
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Choroidal Hemangioma - Diffuse - Enhanced Depth Imaging Spectral Domain OCT Line Scan - Normal Eyevaatamisi: 627Normal Choroidal Thickness in Right Eye
(0 hinnangut)
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Choroidal Hemangioma - Diffuse - Enhanced Depth Imaging Spectral Domain OCT Line Scan - Normal Eyevaatamisi: 738Normal Choroidal Thickness in Right Eye
(0 hinnangut)
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Choroidal Hemangioma - Diffuse - Enhanced Depth Imaging Spectral Domain OCT Line Scan - Abnormal Eyevaatamisi: 616Choroidal Thickness is 697 Microns from Diffuse Choroidal Hemangioma
(0 hinnangut)
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Choroidal Hemangioma - Diffuse - Enhanced Depth Imaging Spectral Domain OCT Line Scan - Abnormal Eyevaatamisi: 843Choroidal Thickness is 697 Microns from Diffuse Choroidal Hemangioma
(0 hinnangut)
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Sturge Weber SD OCT EDI showing choroidal thickeningvaatamisi: 633
(0 hinnangut)
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Hemangioma OS with good vison - 01-29-18vaatamisi: 506Images 7 years following initial uploaded images
(0 hinnangut)
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Hemangioma OS with good vison - 01-29-18vaatamisi: 456Images 7 years following initial uploaded images
(0 hinnangut)
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Hemangioma OS with good vison - 01-29-18vaatamisi: 489Images 7 years following initial uploaded images
(0 hinnangut)
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Hemangioma OS with good vison - 01-29-18vaatamisi: 504Images 7 years following initial uploaded images
(0 hinnangut)
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Hemangioma OS with good vison - 01-29-18vaatamisi: 526Images 7 years following initial uploaded images
(0 hinnangut)
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Hemangioma OS with good vison - 01-29-18vaatamisi: 465Images 7 years following initial uploaded images
(0 hinnangut)
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Hemangioma OS with good vison - 01-29-18vaatamisi: 430Images 7 years following initial uploaded images
(0 hinnangut)
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Hemangioma OS with good vison - 01-29-18vaatamisi: 483Images 7 years following initial uploaded images
(0 hinnangut)
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Sturge-Weber with Choroidal Hemangioma Left Eyevaatamisi: 649VA 20/25 OU. Left eye treated for glaucoma with drops.
(0 hinnangut)
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61-year-old man was seen in the office on 7/2/2010. He has noticed new increased floaters in the right eye: first about three days ago he had some spots, then two days ago a lot of spots, and then just yesterday an explosion of floaters in the eye. You saw a hemorrhage in the eye and suggested he come here for an evaluation. He does have Sturge-Weber syndrome with a hemangioma on the left side of his face.
VISUAL ACUITY: Vision OD is 20/50, PH 20/30; OS 20/80, PH 20/30. IOP: OD 16, OS 19.
SLIT LAMP EXAM: There is 2+ nuclear sclerosis in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.4. There is 2+ vitreous hemorrhage. There is a posterior vitreous separation. There is a retinal flap tear just anterior to the equator at 9:30.
OS: Vertical C/D ratio is 0.4. There is a posterior vitreous separation. It looks to me like there is a reddish dust to the choroid just on the inferior third of the retina just below the macula and the optic nerve.
IMPRESSION:
1. ACUTE POSTERIOR VITREOUS SEPARATION – RIGHT EYE
2. VITREOUS HEMORRHAGE – RIGHT EYE
3. RETINAL TEAR – RIGHT EYE
4. POSSIBLE CHOROIDAL HEMANGIOMA – LEFT EYE
DISCUSSION: I explained to the patient that there is a vitreous separation in the right eye with vitreous hemorrhage and with a retinal tear. With the retinal tear untreated, there is about a 70-80% chance of having a retinal detachment. With treating, we can reduce the risk of retinal detachment from that tear down to 1%.
I treated him with cryotherapy today. Because he has a vitreous hemorrhage, it is a little difficult to see and also because the defect is in the far periphery.
