Choroidal Hemangioma and Its Management

Choroidal hemangioma is a vascular tumor, which can either be circumscribed or diffuse. It most commonly occurs in the posterior pole as a reddish-orange choroidal mass. Ancillary testing with ultrasonography, indocyanine green angiography, and optical coherence tomography are useful in making an accurate diagnosis. The lesion can be simply observed when not associated with any signs of tumor activity. When associated with signs of tumor activity, the treatment options include photodynamic therapy, transpupillary thermotherapy, laser photocoagulation, plaque radiotherapy, external beam radiotherapy, proton beam radiotherapy, anti-vasoendothelial growth factors, or oral beta-blockers. The lesions respond well to treatment with excellent visual recovery.