Combined retinal-retina pigment epithelial hamartoma presenting as a vitreous hemorrhage.
A 2-year-old healthy white boy had a vitreous hemorrhage in the left eye but no history or external signs of trauma. Computed tomographic and ultrasonographic examinations were not diagnostic. A pars plana vitrectomy performed when the patient was 2 1/2 years old revealed a posterior pole lesion diagnosed clinically as a combined retinal-retina pigment epithelial hamartoma. Such lesions may be symptomatic because of decreased vision, macular puckering, and strabismus; vitreous hemorrhage has not previously been reported as the presenting clinical sign or the predominant cause for reduced vision.
D002675:Child, Preschool; D003937:Diagnosis, Differential; D005128:Eye Diseases / Q000209:etiology; D005134:Eye Neoplasms / Q000175:diagnosis*; D005451:Fluorescein Angiography; D006222:Hamartoma / Q000175:diagnosis*; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male; D010857:Pigment Epithelium of Eye; D014822:Vitreous Body