Transretinal Feeder vessel ligature in von Hippel-Lindau disease

Abstract

PURPOSE. To present a new technique called transretinal feeder vessel ligature for the treatment of retinal angiomas.METHODS. Case report of a patient with peripheral retinal angiomas previously treated unsuccessfully with photocoagulation who responded to this new, alternative surgical treatment.RESULTS. The retinal angiomas decreased in size although two new feeder vessels appeared and the lesions showed a regression pattern after additional laser therapy over the vascular tumors.CONCLUSIONS. A transretinal feeder vessel ligature in association with vitrectomy and photocoagulation may be useful for some advanced or non-responsive cases of retinal angiomas.