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Answers: 2008 Series -  October 28, 2008 Lecture 10 of 53  NEXT»

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Case17


Photos courtesy of: Carol L. Shields, M.D.
Used with permission. Not to be reproduced.

A 27-year-old white female complained of floaters and blurred vision for the past 2 years. Previous ocular consultation resulted in diagnosing her to have vitreous hemorrhage, etiology unknown. She was suffering from cerebral palsy since birth and her MRI revealed a porencephalic cyst in the brain. On examination, her visual acuity was 20/20 and anterior segment was unremarkable in both eyes. Shown above is the fundus picture of her right eye. The left eye fundus was within normal limits.

1. What is your cinical diagnosis?

c -- vaso-proliferative tumor of retina

2. What is not an option to manage the following case?

a -- orbital radiotherapy

The lesion is a classic Vaso-proliferative tumor of fundus-- elevated, reddish pink lesion mass in pre-equatorial region, usuallly infero-temporally. The vessels are slightly dilated and are not as tortuous and dilated as seen as retinal capillary hemangiomas. These VPT's characteristically produce exudation that usually extends from peripheral lesion towards posterior pole. The macular area is spared unlike in retinal capillary hemangioma.


REFERENCES:

1. Shields JA, Shields CL, Barret J, et al. Vaso-proliferative tumors of ocular fundus. Classification and clinical manifestations in 103 patients. Arch Ophthalmol 1995;113: 615-623.

2. Rundle P, Shields JA, Shields CL, et al. Vaso-proliferative tumors of ocular fundus associated with Wqqrdenbergs's syndrome. Eye 2000: 14; 105-106.

 

 


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