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En face mode of swept-source optical coherence tomography in circumscribed choroidal haemangioma
  1. Ignacio Flores-Moreno1,
  2. Josep M Caminal1,
  3. Luis Arias-Barquet1,
  4. Marcos J Rubio-Caso1,
  5. Jaume Catala-Mora1,
  6. María Vidal-Martí1,
  7. Alex Muñoz-Blanco1,
  8. Alejandro Filloy1,
  9. José M Ruiz-Moreno2,
  10. Jay S Duker3,
  11. Jorge Arruga1
  1. 1Department of Ophthalmology, Bellvitge University Hospital, Barcelona, Spain
  2. 2Department of Ophthalmology, Castilla La Mancha University, Albacete, Spain
  3. 3New England Eye Center, Tufts Medical Center, Boston, Massachusetts, USA
  1. Correspondence to Dr Ignacio Flores-Moreno, Department of Ophthalmology, Bellvitge University Hospital, Feixa Llarga, s/n, 08907 L'Hospitalet de Llobregat, Barcelona, Spain; i_floresmoreno{at}


Purpose To describe the findings in circumscribed choroidal haemangioma (CCH) using en face swept-source optical coherence tomography (SS-OCT).

Methods En face images were obtained employing DRI-1 Atlantis OCT (Topcon, Tokyo, Japan), using a three-dimensional volumetric scan of 12×9 mm. Images were obtained from the retinal pigment epithelium to 1000 μm in depth of the tumour.

Results Twenty-two eyes from 22 patients with the clinical diagnosis of CCH were included. In 20 eyes (90.9%), a characteristic pattern was visualised in the en face image across the vascular tumour. A multilobular pattern, similar to a honeycomb, with hyporeflective, confluent, oval or round areas corresponding with the lumen of the tumour vascular spaces, and hyper-reflective zones, which may represent the vessels walls and connective tissue of the tumour. Ten eyes (45.4%) showed a hyper-reflective halo surrounding the tumour. Seventeen tumours (77.2%) showed small diameter vessels at the inner zone and larger vessels in the outer area. Twelve patients (54.5%) had previously received treatment (photodynamic therapy, transpupillary thermotherapy, dexamethasone intravitreal implant or brachytherapy with ruthenium-106). No differences were found between treated and untreated patients in any of the measured parameters.

Conclusions En face SS-OCT is a rapid, non-invasive, high-resolution, technology, which allows a complementary study to cross-sectional scans in CCH. A characteristic multilobular pattern, with a hyper-reflective halo surrounding the tumour, was found in en face SS-OCT images. No morphological differences were found between naïve patients and patients who received previous treatment.

  • Choroid
  • Imaging
  • Neoplasia

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