%0 Case Reports
%T Vitreous haemorrhage a rare manifestation of retinal astrocytic hamartoma: a paediatric case report.
%A Salazar-Quiñones L
%A Arcos-Villegas G
%A Valverde-Megías A
%A Flores-Moreno I
%A Méndez-Fernández R
%A Díaz-Valle D
%J Arch Soc Esp Oftalmol (Engl Ed)
%V 94
%N 9
%D Sep 2019
%M 31202691
暂无%R 10.1016/j.oftal.2019.04.012
%X <B>BACKGROUND: </B>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.<BR><B>METHODS: </B>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.<BR><B>CONCLUSIONS: </B>Vitreous haemorrhage is a rare complication of Retinal astrocytic hamartoma and funduscopic exploration is difficult. Systemic involvement should be ruled out.