P 411 Role of sclera creep in choroid degeneration

Patient: A 43 year old female patient lpresented herself pointing up a capillary haemangiama of the retina in the area of the upper VaSCUlar arge wlth a semus detachment of the sensory retina as well as an intraretinal semus maculopathy of the left eye. The visual acuity of the left eye was reduced to 0.5. that 01 lhe right eye was 1.0. The oohthalmolooical findinos were normal. ‘The familv’s medical histow did nbt point to any other fimilial members being affected. AngiomatoSis in other organs (liver, pancreas, kidney, adrenal body, CNS. paranasual sinuses) were not evident. Following weparalory cryocoagulation, we performed a direct lasercoagulation of tile angioma by means of argon and krypton laser under local and at firs1 systemic steroid therapy within several sessions. Prior and to end after the respective laser treatments. we carried out the tyndallomeby by means of the LFCM (FC-1000 Kowa). The follow up was 8 months. Results: 1. The flare values [photon countslms] of the affected eye increased at the beginning of therapy (10.4. normal value < 8). 2. In the course of the lasertherapy the flare valu?s increased up to 22.5. 3. The flare values. which had returned to normal upon termination of the lasertherapy. rose again briefly following spontaneous repelfusion (to 23.6) before normalizing upon renewed lasertherapy resulting in the closihg of the capillary haemangioma (4. 7) 4 The visual acuity fmally W1F 1 0 __ _ Conclusion: The disorder of the blood-eye-bamer may corelate with the Derfusion dearee of a retinal caoillarv hemanaioma. Thus the LFCM permits an n& Invasive quanlifyin’g statement orthe course and Success of a lasertherapy of a retinal capillary haemangloma.