Hamartoma combinado de retina y epitelio pigmentario retiniano: diagnóstico mediante tomografía de coherencia óptica y angiofluoresceingrafía / Combined hamartoma of the retina and retinal pigment epithelium diagnosed by retinal angiography and optical coherence tomography

RESUMEN

Caso clínico Se presenta el caso de una pacientede 35 años, que desarrolló un hamartoma combinadode retina y epitelio pigmentado retiniano. El diagnóstico se determinó en base a los característicos hallazgos funduscópicos hiperplasia del epitelio pigmentado retiniano, tortuosidad vascular y membrana epirretiniana. Discusión: La tomografía de coherencia óptica y laangio fluoresceingrafía permiten descartar melanomacoroideo o retinoblastoma. Es importante realizarun seguimiento periódico por la posibilidad deafectación visual por membrana neovascular coroidea, membrana epirretiniana o hemorragia vítrea

ABSTRACT

Clinical case This report is based on the case of a 35-year-old woman who developed a combined hamartoma of the retina and retinal pigment epithelium in her right eye. The diagnosis was determined based on the fundus examination hyperplasia of the retinal pigment epithelium cells, tortuosity of the vessels and epiretinal membrane. Discussion: Optical coherence tomography and retinal angiography are important to rule out malignant melanoma of the choroid and retinoblastoma. Regular follow-up is essential because reduction in visual acuity can be related to an epiretinal membrane, neovascular membrane or vitreous hemorrhage (Arch Soc Esp Oftalmol 2008; 83 193-196)