We report the use of direct vascular photocoagulation of disfiguring conjunctival hemangiomas, resulting in improved cosmesis in two patients with the Sturge-Weber syndrome.
Report of Cases.
—A 28-year-old white woman presented with prominent hypervascularity of the left conjunctiva. The eye was blind from retinal detachment and rubeotic glaucoma. The intraocular pressure was maintained below 40 mm Hg with topical treatment. A network of dilated and tortuous vessels coursed through conjunctiva and episclera. Numerous microscopic aneurysms were concentrated in the perilimbal area (Fig 1). Band keratopathy was present, but the cornea was otherwise clear.After topical and subconjunctival anesthetic was administered, argon laser spots of 500 μm at 0.2-second durations were delivered to the center of vessel segments and aneurysms. Power from 100 to 700 mW achieved sustained vessel closure. Treatment was continued until either all major vessels were closed or puckering of the conjunctiva occurred. Approximately 650
Mosier MA, Smythe BA. Conjunctival Photocoagulation in Sturge-Weber Syndrome. Arch Ophthalmol. 1992;110(11):1530-1531. doi:10.1001/archopht.1992.01080230030011