What is the role of laser photocoagulation in the treatment of diffuse choroidal hemangiomas in Sturge-Weber syndrome (SWS)?

Updated: Dec 26, 2018
  • Author: Masanori Takeoka, MD; Chief Editor: George I Jallo, MD  more...
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Answer

In laser photocoagulation, which is generally considered to be the preferred therapeutic intervention, placement of light photocoagulation scars over the entire tumor is completed in an attempt to strengthen the adhesion between the retina and the underlying pigment epithelium and, thus, to prevent the spread of the retinal detachment. This form of treatment has afforded limited success. However, retinal detachment often recurs even after photocoagulation therapy, and in some patients, complete reattachment of the retina is not possible. Furthermore, treatment success with large hemangiomas, as well as with diffuse, infiltrating tumors of the macula, is limited.


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