First Author: D.Balatsoukas GREECE
Co Author(s): D. Balatsoukas E. Kanonidou I. Zampros 0 0 0 0 0 0 0 0 0
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To report an interesting case of incidential isolated occurrence of retinal astrocytoma in a patient without other ocular or systemic comorbidity.
Department of Ophthalmology, ‘’Hippokrateion’’ General Hospital of Thessaloniki, Thessaloniki, Greece.
Male patient, 43 years old, presented at the outpatient department of our clinic for a scheduled visit. The patient underwent ophthalmological examination for the first time. The ophthalmological and medical history of the patient and his family was clear. Fundoscopic examination under mydriasis revealed a solitary, whitish yellow, well-circumscribed, elevated, endophytic and multi-lobed (multinodular) mulberry-like retinal lesion at the periphery of his right eye. The rest ophthalmological findings were normal.
Τhe suspicion of astrocytoma was confirmed by the charasteric autofluoresence and fluoroangiography findings. FΑ shows hyperfluorescence due to staining without leakage. Differential diagnosis from retinoblastoma and choroidal melanoma
Retinal astrocytomas are rare benign retinal tumors (hamartomas). They can be presented as solitary or multiple, uni- or bilateral, isolated or in association with a phakomatosis (tuberous sclerosis or neurofibromatosis type 1). They are usually asymptomatic. Treatment is not necessary as the prognosis is usually good. Significant growth and associated ocular complications such as serous retinal detachment or vitreous haemorrhage are less likely to occur. A detailed ophthalmological and systemic assessment is needed initially followed by scheduled eye examinations yearly.