Regression of retinal capillary hemangioblastoma with systemic belzutifan in von Hippel–Lindau disease: a case report - Takeaways - MDSpire

Regression of retinal capillary hemangioblastoma with systemic belzutifan in von Hippel–Lindau disease: a case report

  • By

  • Angelica Aja Dangca Alcoreza

  • Cheryn Song

  • Junyeop Lee

  • July 9, 2026

  • 0 min

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  • 1

    A 49-year-old female with von Hippel–Lindau disease experienced regression of retinal capillary hemangioblastoma after systemic belzutifan treatment.

  • 2

    Belzutifan, a HIF-2α inhibitor, was initiated due to new retinal lesions and renal mass growth in the patient.

  • 3

    After four months of belzutifan therapy, the patient showed reduced size, perfusion, and vascularity of retinal lesions.

  • 4

    The patient's visual acuity improved to 20/16, and local ablative therapies were deferred due to the positive response.

  • 5

    Belzutifan may serve as an effective treatment for retinal capillary hemangioblastomas in patients with VHL disease.

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