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Two-staged en bloc excision of a retinal haemangioma
  1. Mahima Jhingan,
  2. Jay Chhablani,
  3. Komal Agarwal,
  4. Padmaja Kumari Rani
  1. Vitreo-retina services, L V Prasad Eye Institute, Hyderabad, AP, India
  1. Correspondence to Dr Padmaja Kumari Rani, rpk111{at}


A 31-year-old man presented to us with diminution of vision in the right eye which he noticed since 10 days, with a visual acuity of hand motions only. On examination, festooned pupil and a complicated cataract were noted with no view of the retina. Ultrasonography of the right eye showed retinal detachment in all quadrants with suspected areas of traction and membranes in the vitreous. Left eye examination revealed a normal anterior and posterior segment. Intraoperatively, he underwent a pars plana lensectomy following which an inferior large retinal haemangioma was noted with dilated and tortuous feeder artery and draining vein. The haemangioma was managed by a two-staged procedure including ligature of the feeder artery in the first surgery and the en bloc excision of the angioma at the time of the second procedure after significant shrinkage in size of the tumour.

  • Retina
  • Hemangioma
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  • Contributors MJ and KA contributed to literature search and drafting of the manuscript. JC was involved in active management of the patient as the operating surgeon as well as helped in drafting and revision of the manuscript. PKR contributed in drafting and revision of manuscript.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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