{Reference Type}: Case Reports
{Title}: Vitreous haemorrhage a rare manifestation of retinal astrocytic hamartoma: a paediatric case report.
{Author}: Salazar-Quiñones L;Arcos-Villegas G;Valverde-Megías A;Flores-Moreno I;Méndez-Fernández R;Díaz-Valle D;
{Journal}: Arch Soc Esp Oftalmol (Engl Ed)
{Volume}: 94
{Issue}: 9
{Year}: Sep 2019
暂无{DOI}: 10.1016/j.oftal.2019.04.012
{Abstract}: BACKGROUND: 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.
METHODS: 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.
CONCLUSIONS: Vitreous haemorrhage is a rare complication of Retinal astrocytic hamartoma and funduscopic exploration is difficult. Systemic involvement should be ruled out.