AI Article Synopsis
- The study reports a case of retinal astrocytic hamartoma in a 25-year-old woman, discovered incidentally during an eye exam, and monitored over 2 years using optical coherence tomography angiography (OCTA).
- At the initial visit, the patient's visual acuity was 20/32 with a benign round lesion identified in the left eye, which OCT and OCTA confirmed as stable throughout the follow-up period, showing no significant changes in the lesion size or vascular density.
- The findings highlight the utility of OCTA in diagnosing and monitoring rare retinal tumors, providing valuable information on their nature and effects on surrounding ocular structures.
Article Abstract
Purpose: To report a case of retinal astrocytic hamartoma imaged by optical coherence tomography angiography (OCTA), followed for 2 years.
Methods: Observational case report.
Results: A 25-year-old woman was referred for an incidental retinal lesion in the left eye (LE). At baseline, the best-corrected visual acuity in the LE was 20/32, and fundus examination showed the presence of a round, pigmented lesion in juxtafoveal region, corresponding, on spectral domain OCT, to a hyperreflective lesion within nerve fiber layer. Optical coherence tomography angiography revealed the presence of a high-flow lesion in the superficial capillary plexus segmentation. The patient was followed up for 2 years: best-corrected visual acuity remained stable and multimodal imaging, including OCTA, confirmed the benign and stable nature of the lesion. At baseline, the total lesion area on OCTA (superficial capillary plexus) was 0.181 mm2, whereas vascular density was 52.080%; the total area was 0.204 mm2, and vascular density was 53.740% at 2-year follow-up.
Conclusion: Optical coherence tomography angiography is helpful not only for the diagnosis and follow-up of such rare tumors, but also it gives insights as to how these tumors develop and how they affect surrounding structures.
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| http://dx.doi.org/10.1097/ICB.0000000000000975 | DOI Listing |
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