Jason Gayoski » Miscellaneous

Oct 20 2025 by Jason Gayoski

Prev. getting injections, last one in 2024 at external provider. Hx of liver hemangiomas on CT/MRI in 2018: no known follow-up for this. Hx of migraine headaches longstanding without hemangiomas noted on brain MRI in 2018. CTA head/neck neg in 2021. No hx or Fhx of VHL. NVE/shunt vessels inferiorly on FA today. Discussed option of restarting antiVEGF or laser. Pt would like to observe for now given stability. Will consider antiVEGF/Laser/belzutifan in future. Referral to medical genetics to eval for VHL. Recommend obtain MRI brain, spine w/wo con, CTAbd w/wo con to eval for systemic hemangiomas. Will likely refer to Ocular Onc pending these results. Also consider GI referral given liver hemangiomas since 2018. Pt already established with Neurology for migraines.

Photographer: Jason Gayoski COA

Imaging device: Optos

Condition/keywords: branch retinal vein occlusion (BRVO), retinal neovascularization