4.4 Article

PHOTODYNAMIC THERAPY FOR EXTRAFOVEOLAR CHOROIDAL OSTEOMA

Journal

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/IAE.0000000000002534

Keywords

choroid; eye; osteoma; PDT; tumor

Categories

Funding

  1. Eye Tumor Research Foundation, Philadelphia, PA
  2. Heed Ophthalmic Foundation, San Francisco, CA

Ask authors/readers for more resources

Purpose: To evaluate the outcome of photodynamic therapy (PDT) in the management of extrafoveolar choroidal osteoma. Methods: The authors performed a retrospective chart review of all patients with choroidal osteoma that did not involve the foveola and were treated with standard-fluence PDT. Results: Nine eyes with extrafoveolar choroidal osteoma were studied. Mean logarithm of the minimum angle of resolution best-corrected visual acuity at initial examination was 0.07 (Snellen similar to 20/25). The osteoma was treated with 1 (8/9) or 2 (1/9) PDT sessions using 50 J/cm(2). After a mean follow-up of 49 months, the treated area of osteoma demonstrated complete (4/9) or partial (5/9) regression, with a mean of 73% regression in the PDT-treated areas. Tumor growth in the region of PDT was noted in 3 cases (3/9) (one tumor toward the foveola and two tumors at the margin away from the foveola), but in no case did the tumor reach the foveola. Therefore, PDT controlled tumor growth in 8 of 9 cases with only 1 of 9 cases showing growth through the PDT scar into foveola. Mean logarithm of the minimum angle of resolution visual acuity at last follow-up was 0.04 (Snellen similar to 20/20) (P = 0.59). Conclusion: Photodynamic therapy is an effective modality for the management of extrafoveolar choroidal osteoma, minimizing tumor growth toward the foveola and preserving visual acuity.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.4
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Editorial Material Ophthalmology

Ultra-low-dose (boom-boom) radiotherapy for choroidal lymphoma in three consecutive cases

Xiaolu Yang, Lauren A. Dalvin, Li-Anne S. Lim, Arman Mashayekhi, Jerry A. Shields, Carol L. Shields

Summary: In this small case series, ultra-low-dose (boom-boom) radiotherapy was effective in treating choroidal lymphoma with favorable response and minimal side effects. All patients showed complete tumor regression on follow-up, with no radiation complications and improvement in visual acuity.

EUROPEAN JOURNAL OF OPHTHALMOLOGY (2021)

Article Ophthalmology

Intraocular schwannoma with extrascleral extension

Sanika Udyaver, Li-Anne S. Lim, Tatyana Milman, Arman Mashayekhi, Jerry A. Shields, Carol L. Shields

Summary: This study reports a rare case of intraocular schwannoma with extrascleral extension in a patient with juvenile idiopathic arthritis. Clinical diagnosis of this benign uveal tumor, which can mimic inflammatory and malignant processes, is challenging and tissue biopsy is required for definitive diagnosis.

EUROPEAN JOURNAL OF OPHTHALMOLOGY (2021)

Article Ophthalmology

ASSOCIATION OF VITREORETINAL LYMPHOMA WITH SYSTEMIC LYMPHOMA

Arman Mashayekhi, Lauren A. Dalvin, Li-Anne S. Lim, David Ancona-Lezama, Mehdi Mazloumi, Michael Chang, Carol L. Shields, Jerry A. Shields

Summary: The study found that 19% of patients with vitreoretinal lymphoma were associated with systemic lymphoma, and there were no significant differences in demographics, clinical features, or treatment response between the two groups.

RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES (2021)

Article Ophthalmology

SPECTRAL DOMAIN OPTICAL COHERENCE TOMOGRAPHY FEATURES OF VITREORETINAL LYMPHOMA IN 55 EYES

Xiaolu Yang, Lauren A. Dalvin, Mehdi Mazloumi, Sandor Ferenczy, Li-Anne S. Lim, David Ancona-Lezama, Jerry A. Shields, Arman Mashayekhi, Carol L. Shields

Summary: SD-OCT features in patients with vitreoretinal lymphoma showed reduction in vitreous opacities, intraretinal deposits, subretinal deposits, and subretinal pigment epithelium deposits during local tumor regression, indicating its usefulness in assessing treatment response.

RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES (2021)

Article Ophthalmology

Optical coherence tomography angiography analysis of the retina in patients recovered from COVID-19: a case-control study

Mojtaba Abrishami, Zahra Emamverdian, Naser Shoeibi, Arash Omidtabrizi, Ramin Daneshvar, Talieh Saeidi Rezvani, Neda Saeedian, Saeid Eslami, Mehdi Mazloumi, SriniVas Sadda, David Sarraf

Summary: The study aimed to quantify the density of macular microvasculature and the area of the foveal avascular zone (FAZ) in COVID-19 recovered patients using OCTA analysis. Results showed significantly lower vessel density in both superficial and deep retinal capillary plexus of the COVID cohort, suggesting potential retinal vascular complications in patients with coronavirus infection.

CANADIAN JOURNAL OF OPHTHALMOLOGY-JOURNAL CANADIEN D OPHTALMOLOGIE (2021)

Editorial Material Ophthalmology

Retinoblastoma in an older Hispanic child masquerading as pars planitis: A case report

Irving Armando Dominguez-Varela, Jorge A. Aguilera-Partida, Lauren A. Dalvin, Lucas A. Garza-Garza, Leslie M. Thompson-Garcia, Alvaro Barbosa-Quintana, David Ancona-Lezama

Summary: This case report highlights a late-onset Retinoblastoma in a Hispanic girl, emphasizing the importance of considering Rb diagnosis in children over 5 years old and the necessity of a multidisciplinary approach for accurate diagnosis and treatment.

EUROPEAN JOURNAL OF OPHTHALMOLOGY (2022)

Article Ophthalmology

Diffuse infiltrative retinoblastoma with retinal detachment in cinnamon-roll configuration: a case report

David Ancona-Lezama, Lucas A. Garza-Garza, Raul E. Ruiz-Lozano, Carol L. Shields, Luis G. Villagomez-Valdez, Julia O. De-Leija-Portilla

Summary: A 4-year-old girl presented with leukocoria, vision loss, and painless left eye redness. Examination revealed total retinal detachment and abnormal retinal vessels. Enucleation was performed due to poor visual prognosis and suspicion of malignancy, confirming the diagnosis of diffuse infiltrative retinoblastoma with atypical presentation.

JOURNAL OF AAPOS (2021)

Article Ophthalmology

SPECTRAL DOMAIN OPTICAL COHERENCE TOMOGRAPHY BIOMARKERS OF RETINAL HYPERPERMEABILITY AND CHOROIDAL INFLAMMATION AS PREDICTORS OF SHORT-TERM FUNCTIONAL AND ANATOMICAL OUTCOMES IN EYES WITH DIABETIC MACULAR EDEMA TREATED WITH INTRAVITREAL BEVACIZUMAB

Mehdi Mazloumi, Morteza Entezari, Sanam Samadikhadem, Alireza Ramezani, Homayoun Nikkhah, J. Fernando Arevalo

Summary: This study found that patients with diabetic nephropathy had greater subfoveal choroidal thickness at baseline and were more likely to have subretinal fluid. External limiting membrane disruption and disorganization of retinal inner layers were predictors of best-corrected visual acuity at 3 months, while disorganization of retinal inner layers and duration of diabetes mellitus were predictors of central subfield thickness at 3 months.

RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES (2022)

Article Oncology

Diagnosing Vitreoretinal Lymphomas-An Analysis of the Sensitivity of Existing Tools

Anahita Sehgal, Jose S. Pulido, Arman Mashayekhi, Tatyana Milman, Gabor Gy Deak

Summary: Diagnosing vitreoretinal lymphoma is highly challenging due to the common occurrence of false negative results. This study retrospectively analyzed the sensitivity of various diagnostic methods and found that MyD88 mutation analysis caused by a hotspot mutation in MyD88 exhibited the highest sensitivity and lowest coefficient of variation.

CANCERS (2022)

Article Genetics & Heredity

Novel RB1 germline mutation in a healthy man

Eugenia M. Ramos-Davila, Lucas A. Garza-Garza, Rocio Villafuerte-de la Cruz, Dione Aguilar-Y-Mendez, Hector J. Morales-Garza, Manuel Garza-Leon, Raul E. Ruiz-Lozano, David Ancona-Lezama

Summary: Retinoblastoma (Rb) can be caused by inherited germline mutations with high penetrance, but only a small percentage of mutations are inherited. A rare case of a novel low-penetrance RB1 germline mutation was identified in a Mexican family with successful treatment outcomes. Long-term follow-up and implications for unaffected individuals need further study.

OPHTHALMIC GENETICS (2022)

Article Ophthalmology

Ruthenium-106 plaque radiotherapy for uveal melanoma: analysis of tumor dimension and location on anatomical and functional results

Reza Mirshahi, Ahad Sedaghat, Ramin Jaberi, Zohreh Azma, Mehdi Mazloumi, Masood Naseripour

Summary: Ru-106 plaque radiotherapy is effective for treating thick and large uveal melanoma. Juxtapapillary tumors have a lower globe preservation rate, but the metastasis rate is not significantly different.

BMC OPHTHALMOLOGY (2022)

Article Ophthalmology

Photodynamic Therapy for Retinal Hemangioblastoma: Treatment Outcomes of 17 Consecutive Patients

Maura Di Nicola, Basil K. Williams Jr, Jing Hua, Vladislav P. Bekerman, Arman Mashayekhi, Jerry A. Shields, Carol L. Shields

Summary: This study retrospectively analyzed 17 patients with retinal hemangioblastoma who underwent photodynamic therapy (PDT). The results showed that PDT is an effective treatment for both juxtapapillary and peripheral retinal hemangioblastomas, providing satisfactory tumor control, resolution of subretinal and intraretinal fluid, and stable or improved visual acuity.

OPHTHALMOLOGY RETINA (2022)

No Data Available