Diagnóstico ecográfico de los tumores vasoproliferativos del fondo de ojo

  1. A. Piñeiro-Ces
  2. M.J. Blanco-Teijeiro
  3. M.P. Mera-Yáñez
  4. C. Capeans-Tome
Revista:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Ano de publicación: 2011

Volume: 86

Número: 8

Páxinas: 247-253

Tipo: Artigo

DOI: 10.1016/J.OFTAL.2011.04.008 DIALNET GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: Archivos de la Sociedad Española de Oftalmologia

Resumo

Objective: The aim of this work is to describe the ultrasound features in vasoproliferative tumours of the ocular fundus (VPTOF). Methods: The medical records corresponding to eight patients were retrospectively studied. Clinical data from the complete ophthalmologic examination and ultrasonographic findings were analysed. Results: Nodular masses affecting either the retina or both the retina and the choroid were found. The surface contour of the tumour was regular in 5, and irregular in 3 cases. In terms of dimensions (mm/ SD), the average major base was 7.14/2.56; the minor base 6.74/2.48 and the height 2.38/1.26. Internal structure was always solid and irregular and reflectivity was mostly medium to high in 6 eyes. Angle kappa was not present in any case. No vascularity signs were detected. Conclusion: According to the results it is suggested that when a differential diagnosis of VPTOF is carried out, not only should ophthalmoscopic signs be studied, but an ultrasound examination should also be done.

Referencias bibliográficas

  • Barr, CC, Rice, TA, Michels, RG. (1980). Angioma-like mass in a patient with retrolental fibroplasias. Am J Ophthalmol.. 89. 647
  • Shields, JA, Decker, WL, Sanborn, GE, Augsburger, JJ, Goldberg, RE. (1983). Presumed acquired retinal hemangiomas. Ophthalmology. 90. 1292
  • Campochiaro, PA, Conway, BP. (1988). Hemangioma-like masses of the retina. Arch Ophthalmol.. 106. 1409
  • Sahel, JA, Frederick, AR, Pesavento, R, Albert, DM. (1988). Idiopathic retinal gliosis mimicking a choroidal melanoma. Retina. 8. 282
  • Shields, CL, Shields, JA, Barret, J, Potter, P. (1995). Vasoproliferative tumors of the ocular fundus: Classification and clinical manifestations in 103 patients. Arch Ophthalmol.. 113. 615
  • Heimann, H, Bornfeld, N, Vij, O, Coupland, SE, Bechrakis, NE, Kellner, U. (2000). Vasoproliferative tumours of the retina. Br J Ophthalmol.. 84. 1162
  • Damato, B. (2006). Vasoproliferative tumour. Br J Ophthalmol.. 90. 399-400
  • Smeets, MH, Mooy, CM, Baarsma, GS, Mertens, DE, Van Meurs, JC. (1998). Histopathology of a vasoproliferative tumor of the ocular fundus. Retina. 18. 470
  • Irvine, F, O'Donell, N, Kemp, E, Lee, WR. (2000). Retinal vasoproliferative tumors: surgical management and histological findings. Arch Ophthalmol.. 118. 563
  • Anastassiou, G, Bornfeld, N, Schueler, AO, Schilling, H, Weber, S, Fluehs, D. (2006). Ruthenium-106 plaque brachytherapy for symptomatic vasoproliferative tumours of the retina. Br J Ophthalmol.. 90. 447
  • Lafaut, BA, Meire, FM, Leys, AM, Dralands, G, De Laey, JJ. (1999). Vasoproliferative retinal tumors associated with peripheral chorioretinal scars in presumed congenital toxoplasmosis. Graefes Arch Clin Exp Ophthalmol.. 237. 1033
  • Barbezetto, IA, Smith, RT. (2003). Vasoproliferative tumor of the retina treated with PDT. Retina.. 23. 565
  • Blasi, MA, Scupola, A, Tiberti, AC, Sasso, P, Balestrazzi, E. (2006). Photodynamic therapy for vasoproliferative retinal tumors. Retina.. 26. 404
  • Kenawy, N, Groenwald, C, Damato, B. (2007). Treatment of a vasoproliferative tumour with intravitreal bevacizumab (Avastin). Eye.. 21. 893
  • Byrne, SF, Green, RL. (2002). Intraocular tumors: Ultrasound of the Eye and Orbit. 2. Mosby. St. Louis^eMo Mo.
  • (1997). Mortality in patients with small choroidal melanoma: COMS report no. 4. The Collaborative Ocular Melanoma Study Group. Arch Ophthalmol.. 115. 886
  • Sobottka, B, Kreissig, I. (1999). Ultrasonography of metastases and melanomas of the choroid. Curr Opin Ophthalmol.. 10. 164
  • Lois, N, Shields, CL, Shields, JA, Eagle, R, De Potter, P. (1998). Cavitary melanoma of the ciliary body. Ophthalmology. 105. 1091
  • Minning, CA, Davidorf, FH. (1982). Ossoinig's angle of ultrasonic absorption and its role in the diagnosis of malignant melanoma. Ann Ophthalmol.. 14. 564
  • Coleman, DJ. (1973). Reliability of ocular tumor diagnosis with ultrasound. Trans Am Acad Ophthalmol Otolaryngol.. 77. 677
  • Fuller, DG, Snyder, WB, Hutton, WL, Vaiser, A. (1979). Ultrasonographic features of choroidal malignant melanomas. Arch Ophthalmol.. 97. 1465
  • Atta, HR. (1996). Special examination techniques: globe: Ophthalmic Ultrasound. A practical guide. Churchill Livingstone. New York^eNY NY.