:: Volume 15, Issue 3 (4-2010) ::
3 2010, 15(3): 223-229 Back to browse issues page
Combined Hamartoma of the Retina and Retinal Pigment Epithelium in a Patient with Fundus Flavimaculatus
M Soheilian MD , N Daftarian MD
Shahid Beheshti University of Medical Sciences
Abstract:   (5756 Views)

 

Aim: To report a patient with fundus flavimaculatus or macular dystrophy with flecks, who came to medical attention due to deteriorated vision in one eye and combined hamartoma of the retina and retinal pigment epithelium.

Case presentation: A 26 year old lady was referred with history of progressive decreased vision in both eyes since childhood with recently deteriorated vision in her right eye. In the last examination, visual acuity with correction was 20/400 in the right and 20/200 in the left eye. On biomicroscopic funduscopy, there was a mass-like lesion extending all over the macula in the right eye with distortion of the fundus and retinal vasculature. A thick epiretinal fibrous membrane covered the lesion. Left eye examination revealed lack of foveal reflex with an atrophic retina, retinal pigment epithelium and choriocapillaris accompanied by pigmentary changes. Diffuse flecks extended from the macula to the mid periphery. Elecroretinogram and electrooculogram confimed a diagnosis of advanced fundus flavimaculatus. Fluorescein angiography and indocyanine green imaging did not show any evidence of choroidal neovascularization.

Conclusion: There has been no report of concurrent macular dystrophy with flecks and combined hamartoma of the retina and retinal pigment epithelium in the literature. It is not clear whether this is an accidental association or there may be genetic footprints.

Keywords: Fundus Flavimacolatous, Retina, Hamartoma
Full-Text [PDF 1353 kb]   (1005 Downloads)    
Type of Study: Research | Subject: Ophthalmology


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Volume 15, Issue 3 (4-2010) Back to browse issues page