Spectral-domain Optical Coherence Tomography of Combined Hamartoma of the Retina and Retinal Pigment Epithelium in Neurofibromatosis
Korean Journal of Ophthalmology
;
: 68-71, 2013.
Article
Dans Anglais
| WPRIM
| ID: wpr-19701
ABSTRACT
A 5-year-old girl was diagnosed with neurofibromatosis type 2 (NF-2) due to multiple neurofibromas, cafe-au-lait spots, and schwannomas of the brain. During ophthalmologic evaluation, a posterior subcapsular cataract and a gray-green colored subretinal lesion were found in right eye. Fluorescein angiography (FA) revealed a combined hamartoma of the retina and retinal pigment epithelium (CHRRPE). At age 9, she underwent cataract surgery. At this time FA and spectral-domain optical coherence tomography (SD-OCT) were taken. The SD-OCT showed an elevated hyperreflective mass in the retina with prominent attenuation of the inner and outer retina, but minimal attenuation in the photoreceptor layers. The underlying retina appeared to be disorganized and thick (791 microm). This is the first case report of SD-OCT imaging of a CHRRPE associated with NF-2 in a pediatric patient. By using SD-OCT in this patient, we could obtain detailed tumor characteristics, and SD-OCT may be helpful in the diagnosis and management of CHRRPE.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Rétinopathies
/
Acuité visuelle
/
Neurofibromatose de type 2
/
Tomographie par cohérence optique
/
Diagnostic différentiel
/
Épithélium pigmentaire de la rétine
/
Hamartomes
Type d'étude:
Etude diagnostique
Limites du sujet:
Enfant d'âge préscolaire
/
Femelle
/
Humains
langue:
Anglais
Texte intégral:
Korean Journal of Ophthalmology
Année:
2013
Type:
Article
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