Case Report
Volume 12 Issue 8 - 2020
Corneal Hemangioma. A Case Report
Karyna Castro-Cárdenas1, Jessica G Sigler-Morales2 and Aldo A Sigler-Villanueva1*
1Professor, University of Medical Sciences, Ciego de Avila Province, Cuba
2General Practitioner, University of Medical Sciences, Ciego de Avila Province, Cuba
*Corresponding Author: Aldo A Sigler-Villanueva, Professor, University of Medical Sciences, Ciego de Avila Province, Cuba.
Received: June 25, 2021; Published: August 30, 2021




Abstract

Introduction: Hemangioma is a benign vascular lesion with ocular locations such as the choroid, the conjunctiva and the episclera. The corneal location is rare, the corneal vascularization due to a hemangioma leads to its opacity and impairment of visual function.

Objective: To describe the clinical characteristics of corneal hemangioma, its diagnosis and complications.

Case Presentation: 59-year-old female patient who attended the consultation with corneal opacity in the right eye. The biomicroscopy of the anterior segment showed fan-shaped lower hemicorneal vascularization from H-5 to H-7 to the lower parapupillary sector, initially without visual impairment, it has continued to progress until covering the lower two thirds of the pupillary area, producing a decrease in visual acuity. Gonioscopy revealed increased corneal volume in the inferior sector with protrusion to the anterior chamber. It was evaluated by specialists in Angiology, Internal Medicine and Cardiology, ruling out the possibility of a systemic etiology, therefore a corneal hemangioma was diagnosed. She was treated with topical and systemic steroids, ocular hypotensives, and artificial tears. The nutritional vessels were cauterized in the operating room. He initially presented regression of the vascularization and after two months it had a recurrence. The patient is maintained with a follow-up in a specialized cornea and glaucoma consultation. She is awaiting photodynamic therapy with verteporfin (Visudyne; Novartis), which causes tumor destruction with minimal damage to adjacent structures.

Conclusion: Corneal hemangioma is a rare disease with a tendency to progression causing visual impairment without the possibility of corneal transplantation due to the high risk of graft rejection.

Keywords: Hemangioma; Cornea; Corneal Angiogenesis

References

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  8. Knobloch R. “Scleral and corneal hemangioma”. Ceskoslovenska Oftalmologie5 (1951): 336-337.
  9. Villalobos C., et al. “The Contest-Thea Trophy 2015-2016”.
  10. Yoon KC. “Photodynamic Therapy with Verteporfin for Corneal Neovascularization”. American Journal of Ophthalmology3 (2007): 390-395.
Citation: Aldo A Sigler-Villanueva., et al. “Corneal Hemangioma. A Case Report”. EC Ophthalmology 12.9 (2021): 30-33.

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