enhanced depth imaging optical coherence tomography a new method in diagnosis and evaluation of treatment for choroidal hemangioma: a case report

purpose : to report the evaluation of the treatment response in choroidal hemangioma with application of enhanced depth imaging optical coherence tomography (edi-oct) technique case report : a 73-year-old woman with a circumscribed choroidal hemangioma in the posterior pole of her left eye underwent photodynamic therapy and intravitreal injection of bevacizumab. edi-oct obtained from the affected eye before and after the treatment. the efficacy of treatment evaluated with indocyanine green and fluorescein angiography (fa). results : the edi-oct taken before treatment showed increased thickness of choroidal layer as multiple large dark spaces in the outer and middle layers of the choroid. after treatment, edi-oct revealed shrinkage of the choroidal thickness (from 712 µm to 273 µm) more pronounced in outer and middle layers. conclusion : edi-oct may be used as a noninvasive test to help in the diagnosis and evaluation of the treatment response and follow-up of patients with choroidal hemangioma.    iranian journal of ophthalmology 201022(3):47-52 © 2010 by the iranian society of ophthalmology