Cavernous hemangioma of the optic disc

Abstract

This case represents an isolated cavernous hemangioma of the optic disc diagnosed by various diagnostic modalities. A 32-year-old woman with no ocular or systemic history was diagnosed with cavernous hemangioma of the optic disc. Fundus examination revealed a cluster of grape-like lesion occupying the lower part of the optic disc and the adjacent peripapillary retina. Fundus fluorescein angiography showed delayed filling of the lesion with late intravascular plasma–erythrocyte separation ‘characteristic fluorescein capping’ with no leakage. Optical coherence tomography revealed dilated saccular clusters occupying the lower optic disc and adjacent retina. Optical coherence tomography angiography showed a hyperintense lesion (denoting vascular flow) involving the lower half of the disc. No associated systemic hemangiomas were found. After a 1-year follow-up period, no changes have been documented.

Keywords

• cavernous hemangioma
• fundus fluorescein angiography
• optic disc
• optical coherence tomography angiography