Posterior Segment
Choroidal Haemangioma
Also known as: choroidal haemangioma, choroidal hemangioma, circumscribed choroidal haemangioma, diffuse choroidal haemangioma, sturge-weber choroid, red-orange choroidal lesion, tomato ketchup fundus
Filed as: Routine
Source-cited from the record's own evidence list. Clinical content programme led by Dr Ankit Mathur, PhD, Grad Cert Ocu Thera, B.S. Optom. How the clinical content is governed
Clinical decision support only
Overview
Choroidal haemangioma is a benign vascular tumour of the choroid. The circumscribed form is usually single, in one eye, round and red-orange with a faint pigmented rim, and has no systemic association. The diffuse form is linked to Sturge-Weber syndrome, involves more than half the choroid and has indistinct borders. Vision is threatened by subretinal fluid or chronic macular oedema. The optometry role is to document and image the lesion, review it routinely, and refer when fluid or oedema appears or when melanoma or metastasis cannot be set aside.
Recognition
Symptoms: what patients report
- Often none; found at a routine examination.
- Blur, distortion or a hyperopic shift when fluid involves the macula.
- Diffuse form: usually known Sturge-Weber syndrome with a facial port-wine stain.
Signs: what the examination shows
- Circumscribed: a round, red-orange, slightly raised choroidal lesion with a ring of slight pigmentation, usually at the posterior pole.
- Diffuse: a deep red fundus compared with the fellow eye, with poorly defined borders over more than half the choroid.
- OCT: the RPE and outer retina over the lesion may be altered; subretinal fluid or cystic macular oedema may be present.
What OptoGuide™ covers for choroidal haemangioma
- Pattern reasoning: what this combination of findings points to, and its differentiators
- Don't-miss risks and escalation triggers
- Management tiers with linked Australian therapeutics
- Referral urgency, specialty, and letter drafting