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January 1988

Cavernous Hemangioma of the Optic Disc

Arch Ophthalmol. 1988;106(1):22. doi:10.1001/archopht.1988.01060130024016

To the Editor.  —Cavernous hemangioma of the retina or optic disc is a rare sessile lesion with no or little exudative tendency.1-3 The majority of these hemangiomas are 1 disc diameter in size or bigger and are located in the midperiphery. The lesions appear as thin-walled, dilated blood-vessel saccules, and they have been confused in the past with various malignant neoplasms and with idiopathic telangiectasia. There is plasma-erythrocyte separation in the tumor, with marked delay in filling with fluorescein dye, reflecting the slow perfusion of these lesions. There is usually no leakage of dye. We present a rare case of cavernous hemangioma of the optic disc presenting as aneurysmlike malformations. Fluorescein angiography was helpful in delineating the full extent of the lesion.

Report of a Case.  —A 6-year-old boy was referred for evaluation of "esotropia, pseudopapilledema and peripapillary hemorrhages" of the right eye. He had undergone amblyopia therapy for

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