Hemorragia vítrea una rara manifestación del hamartoma astrocítico retinianoA propósito de un caso pediátrico
- L. Salazar-Quiñones 13
- G. Arcos-Villegas 2
- A. Valverde-Megías 13
- I. Flores-Moreno 4
- R. Méndez-Fernández 13
- D. Díaz-Valle 13
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1
Instituto de Investigación Sanitaria del Hospital Clínico San Carlos
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Instituto de Investigación Sanitaria del Hospital Clínico San Carlos
Madrid, España
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2
Fundación Jiménez Díaz
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3
Hospital Clínico San Carlos de Madrid
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4
Hospital Universitario Puerta de Hierro
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ISSN: 0365-6691
Datum der Publikation: 2019
Ausgabe: 94
Nummer: 9
Seiten: 449-452
Art: Artikel
Andere Publikationen in: Archivos de la Sociedad Española de Oftalmologia
Zusammenfassung
Introduction Retinal astrocytic hamartoma is generally an asymptomatic benign tumour that may or may not be associated with the tuberous sclerosis complex. Haemorrhage is a rare presentation. Case report The case concerns a 12-year-old patient with “a black spot” vision in the upper temporal hemifield of the right eye, who referred a similar episode 2 years ago. The anterior pole was normal in the slit lamp. A mass of translucent white-yellow peri-papillary appearance and vitreous peri-papillary haemorrhage was observed in funduscopy. The autofluorescence, fluorescence angiography, and optical coherence tomography characteristics were all compatible with retinal astrocytic hamartoma. Complementary studies (serology and X-rays) and the complete clinical examination rule out associated systemic involvement. The patient was followed-up closely until the vitreous haemorrhage was reabsorbed. Conclusion Vitreous haemorrhage is a rare complication of Retinal astrocytic hamartoma and funduscopic exploration is difficult. Systemic involvement should be ruled out.