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. 2025 Jan 27;88(4):e2024-0167.
doi: 10.5935/0004-2749.2024-0167. eCollection 2025.

Color doppler blood flow analysis in circumscribed choroidal hemangioma

Lídia Guedes Bezerra  1 , Maira Saad de Avila Morales  1 , Maria Helena Mandello Carvalhaes Ramos  1 , Melina Correia Morales  1 , Norma Allemann  1
Affiliations

Color doppler blood flow analysis in circumscribed choroidal hemangioma

Lídia Guedes Bezerra et al. Arq Bras Oftalmol. .

Abstract

Purpose: To evaluate if color Doppler can detect internal blood flow in circumscribed choroidal hemangioma.

Methods: This cross-sectional study examined seven eyes of seven participants with circumscribed choroidal hemangiomas, with or without prior treatment. B-scan ultrasound and color Doppler were used to assess the dimensions, topographical distribution, and internal blood flow of the affected eyes.

Results: The sample included seven patients (five female) with a median age of 61 (62.29 ± 13.83) years. There were seven eyes with circumscribed choroidal hemangiomas in the patient sample. Color Doppler detected internal vascular flow in all cases (100%). The lesions had an average diameter/thickness ratio of >2 mm and an average thickness of <5 mm and were predominantly located superiorly and supero-temporally.

Conclusion: Internal blood flow was detected in circumscribed choroidal hemangiomas using color Doppler. Detection was unaffected by the patient's treatment status.

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Conflict of interest statement

Disclosure of potential conflicts of interest: The authors declare no potential conflicts of interest.

Figures

Figure 1
Figure 1
10 MHz ultrasound of a circumscribed choroidal hemangioma (*). (A) A longitudinal section from a B-scan demonstrating perilesional retinal detachment (thin arrows). The choroidal lesion is dome-shaped and characterized by homogeneous architecture and high reflectivity (*); (B) A cross-section from A and B scans with high internal reflectivity shown in the echo intensity graph (thick arrow)
Figure 2
Figure 2
Color Doppler images (7.5–15-MHz linear transducer) from four patients with circumscribed choroidal hemangioma. (A–D) Elevated dome-shaped choroidal lesions with homogeneous architecture and color-coded intralesional blood flow.
See this image and copyright information in PMC

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