Retina-Vitreous
2007 , Vol 15 , Num 3
Capillary Hemangioma of the Optic Nerve Head
1A. U. Göz Eğitim ve Araştırma Hastanesi, Ankara, Uzm. Dr.2A. U. Göz Eğitim ve Araştırma Hastanesi II. Göz Klinik Şef Yard., Ankara, Doç. Dr. A 55 year-old presented to our clinic for routine eye examination. Her visual acuity was 0.7 in right eye and 1.0 in left eye. Anterior segment examination and intraocular pressure was normal in both eyes. Dilated fundus examination revealed a vascularizated mass involving temporal half of the optic nerve head and shown exudation in the inferor retinal region adjacent to the optic nerve head. Fundus fluorescein angiograpy demonstrated early hyperfluorescence of lesion and the late pooling of the dye with leakage from the optic nerve capillaries. The retina in the periphery was normal. Central nervous system and other systems were normal. The patient who had been diagnosed with capillary hemangioma of optic nerve head were not given any treatment regimen and was followed regularly. One year after the evaluation of lesion, the visual acuity was 0.9 in right eye at the last follow-up examination and dilated fundus examination showed that there was no variation the size of lesion on optic disc and retinal region with exudation became small. Periphery retina of right eye and left eye were normal.
Capillary hemangioma of optic nerve head rarely occurs and can be detected at the routine eye examination. Capillary hemangioma can be treated by alternative methods. But, capillary hemangioma seldomly may regress spontaneously. The association of capiller hemangioma of optic nerve head with various systemic disease should be considered and systemic investigations should be made. Keywords : Optic nerve head; capillary hemangioma