Michele Fortunato (Rome, Italy), Rossana Di Pietro (Pinerolo (TO) Italy)

Advantages:

Photodynamic therapy represents a safe and efficient procedure for the treatment of retinal angiomas in children, by the selective occlusion of vascular lesions, without damaging adjacent retinal structures.

Methods:

The authors describe their experience in the treatment of five cases of von Hippel Lindau disease; patients present the age between 5 and 9 years; the children were treated with laser therapy and photodinamic therapy.

Effectiveness / Safety:

Photodynamic therapy represents in children a selective treatment of intraocular angiomatous lesions, with documented regression of choroidal hemangiomas and visual acuity improvement.

Take home message:

Other treatments like cryotherapy or radiotherapy can cause additional functional damage, depending on the location of the angioma.