Laser surgery in the case of Sturge-Weber syndrome (SWS)
U. Voigt1, H. Konrad2, J. Strobel1, U. Wollina2
Introduction: Treatment of SWS frequently is an interdisciplinary challenge which includes both cosmetic and ophthalmological complications. Complications and cosmetic corrections are treated by use of different lasers.
Materials and methodes: We reported on a 32 year old male with an advaced case of SWS. Beside an extensive involvement of the right half of the face with naevus flammeus, the whole right eye (orbita and bulbus oculi) is affected, including a very painful secondary case of glaucoma.
The secondary glaucoma was treated by means of cyclophotocoagulation (CPC) using a Diode laser (830 nm). In the naevus flammeus (cheek area of the face) area, the Argon laser (514/529 nm) was used for coagulation. For further coagulation, particulary in the area of the eyelides the Pro-Yellow laser was used.
Results: After the CPC, intraocular pressure was normalized at 23 mmHg. After the Argon- and the Pro-Yellow laser treatment for coagulation, the port wine stains were significantly improved. The Argon laser coused more pain and pronounced scar formation was observed in comparison to the Pro-Yellow laser coagulation.
Discussion: CPC is an excellent method for treatment of secundary glaucoma. The Pro-Yellow laser allows a milder and more favorable cosmetic coagulation of the port wine stains. This is made possible by a better absorption of the the laser light 577 nm directly within the vessels.
Department of Ophthalmology (1), Department of Dermatology and Allergology (2), Friedrich-Schiller-University Jena