Joseph Juliano, MD » Miscellaneous

Aug 14 2023 by Joseph Juliano, MD

Fundus photograph of the right eye demonstrating an elevated lesion in the inferotemporal quadrant with a mildly dilated feeding retinal artery and draining vein and overlying telangiectatic vessels, consistent with a vasoproliferative tumor. There is surrounding chronic exudation and lipid that is encroaching on the macula.

Condition/keywords: Vasoproliferative Tumor, VPT

Aug 14 2023 by Joseph Juliano, MD

Fluorescein angiogram at 40 seconds demonstrating mildly dilated telangiectasias along the surface of the lesion (left). Late frame image showing mild leakage along the VPT and cystoid macula edema (right).

Condition/keywords: Vasoproliferative Tumor, VPT

Aug 14 2023 by Joseph Juliano, MD

Intraoperative photos of the vasoproliferative lesion before cryotherapy (left), and after triple freeze thaw cryotherapy (right). Surrounding white areas of exudation are notable around the lesion. Of note, there is tissue blue staining around the macula because this patient presented with a concurrent macular hole and an internal limiting membrane drape was performed.

Condition/keywords: Vasoproliferative Tumor, VPT

Aug 14 2023 by Joseph Juliano, MD

Peripheral VPT with surrounding exudation in a 35 year old woman (Top Left). Three weeks after cryotherapy there are small areas of hemorrhage along the posterior margin of the VPT (Top Right). Four months after cryotherapy, the lesion has significantly less exudation and the areas of hemorrhage have resolved (Bottom Left). Nine months after cryotherapy, there is no further exudation and the VPT is inactive with surrounding cryotherapy scarring (Bottom Right).

Condition/keywords: Vasoproliferative Tumor, VPT