RESUMO
Etiological investigation of a 15-year-old boy with left ophthalmic artery occlusion led us to a diagnosis of neurofibromatosis type I as there were numerous large cafe-au-lait spots, axillary freckling, and brain MRI changes consistent with a hamartoma. In light of the present case, ophthalmic artery occlusion may be a rare feature of neurofibromatosis type I besides more commonly described cerebrovascular changes.
Assuntos
Arteriopatias Oclusivas/diagnóstico , Neurofibromatose 1/diagnóstico , Artéria Oftálmica/patologia , Adolescente , Arteriopatias Oclusivas/etiologia , Encéfalo/patologia , Encefalopatias/diagnóstico , Corioide/irrigação sanguínea , Angiofluoresceinografia , Fundo de Olho , Hamartoma/diagnóstico , Humanos , Imageamento por Ressonância Magnética , MasculinoRESUMO
PURPOSE: To report a case with butterfly-like pattern dystrophy and unilateral subretinal neovascular membrane. RESULTS: We examined a 62-year-old woman with occult subretinal neovascular membrane in the right eye and butterfly-like yellowish figure in the retina confined to the posterior pole in the left eye. Electro-oculogram was subnormal bilaterally. Her 32-year-old daughter also had hypopigmented bilateral macular changes with subnormal electro-oculogram. CONCLUSION: This case demonstrates a rare complication of subretinal neovascular membrane formation in butterfly-like pattern dystrophy.
