PMID- 30396183 OWN - NLM STAT- MEDLINE DCOM- 20190501 LR - 20190501 IS - 1423-0267 (Electronic) IS - 0030-3755 (Linking) VI - 241 IP - 4 DP - 2019 TI - Subretinal Fluid Optical Density and Spectral-Domain Optical Coherence Tomography Characteristics for the Diagnosis of Circumscribed Choroidal Hemangioma. PG - 195-201 LID - 10.1159/000492948 [doi] AB - PURPOSE: To investigate spectral domain-optical coherence tomography (SD-OCT) features of untreated circumscribed choroidal hemangioma (CCH), and the optical density (OD) of the associated subretinal fluid (SRF). PROCEDURES: This international retrospective multicenter study conducted at 5 tertiary retina referral centers included 34 patients with symptomatic CCH imaged on SD-OCT. CCH surface, size, and overlying retinal changes and OD ratio (ODR) were evaluated. RESULTS: The mean ODR of the SRF was 0.808 +/- 0.287. Tumor base measured on ultrasound correlated significantly with the ODR (p = 0.012). ODR values in cases of CCH were similar to those of choroidal metastasis, but significantly lower than those of choroidal melanoma (p = 0.006). Thirty-two out of 34 cases (94%) presented with a regular smooth choroidal surface. OCT demonstrated SRF overlying the CCH in 29 eyes (85%). The presence of SRF correlated significantly with a larger basal tumor diameter (p = 0.035). OCT displayed sub- and intraretinal hyperreflective foci, correlating with both larger maximal retinal thickness overlying the tumor (p = 0.031) and the amount of SRF (p = 0.016) in 29 eyes (85%). CONCLUSION: CCH displays typical findings on SD-OCT. ODR is a new important tool in the differential diagnosis of choroidal tumors and should be considered for enhancing the accuracy of diagnosing CCH. This benefit is especially relevant for cases in which the presentation of CCH is atypical. CI - (c) 2018 S. Karger AG, Basel. FAU - Zur, Dinah AU - Zur D AD - Division of Ophthalmology, Tel Aviv-Sourasky Medical Center, Tel Aviv, Israel, dinahzur@gmail.com. AD - Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel, dinahzur@gmail.com. FAU - Frenkel, Shahar AU - Frenkel S AD - Department of Ophthalmology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel. FAU - Leshno, Ari AU - Leshno A AD - Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. AD - The Goldschleger Eye Institute, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel. FAU - Iglicki, Matias AU - Iglicki M AD - Private Retina Practice, University of Buenos Aires, Buenos Aires, Argentina. FAU - Ben-Artzi Cohen, Noa AU - Ben-Artzi Cohen N AD - Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. FAU - Khoury, Alla AU - Khoury A AD - Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. FAU - Martinez Cartier, Mauricio AU - Martinez Cartier M AD - Vision Institute, Buenos Aires, Argentina. FAU - Barak, Adiel AU - Barak A AD - Division of Ophthalmology, Tel Aviv-Sourasky Medical Center, Tel Aviv, Israel. AD - Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. FAU - Moroz, Iris AU - Moroz I AD - Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. AD - The Goldschleger Eye Institute, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel. FAU - Loewenstein, Anat AU - Loewenstein A AD - Division of Ophthalmology, Tel Aviv-Sourasky Medical Center, Tel Aviv, Israel. AD - Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. FAU - Neudorfer, Meira AU - Neudorfer M AD - Division of Ophthalmology, Tel Aviv-Sourasky Medical Center, Tel Aviv, Israel. AD - Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. FAU - Vishnevskia-Dai, Vicktoria AU - Vishnevskia-Dai V AD - Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. AD - The Goldschleger Eye Institute, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel. LA - eng PT - Journal Article PT - Multicenter Study DEP - 20181105 PL - Switzerland TA - Ophthalmologica JT - Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde JID - 0054655 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Choroid Neoplasms/*diagnosis MH - Female MH - Fluorescein Angiography/*methods MH - Follow-Up Studies MH - Fundus Oculi MH - Hemangioma/*diagnosis MH - Humans MH - Male MH - Middle Aged MH - Retrospective Studies MH - Subretinal Fluid/*diagnostic imaging MH - Tomography, Optical Coherence/*methods OTO - NOTNLM OT - Circumscribed choroidal hemangioma OT - Ocular tumors OT - Optical coherence tomography OT - Optical density EDAT- 2018/11/06 06:00 MHDA- 2019/05/02 06:00 CRDT- 2018/11/06 06:00 PHST- 2018/06/04 00:00 [received] PHST- 2018/08/15 00:00 [accepted] PHST- 2018/11/06 06:00 [pubmed] PHST- 2019/05/02 06:00 [medline] PHST- 2018/11/06 06:00 [entrez] AID - 000492948 [pii] AID - 10.1159/000492948 [doi] PST - ppublish SO - Ophthalmologica. 2019;241(4):195-201. doi: 10.1159/000492948. Epub 2018 Nov 5.