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OPHTHALMIC IMAGE
Year : 2023  |  Volume : 3  |  Issue : 2  |  Page : 637

Multimodal imaging of retinal astrocytic hamartoma associated with retinitis pigmentosa


Department of Vitreo-Retina, Sankara Eye Hospital, Shimoga, Karnataka, India

Date of Web Publication28-Apr-2023

Correspondence Address:
Pradeep Sagar
Sankara Eye Hospital, Harakere, Shimoga, Karnataka - 577 202
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IJO.IJO_2710_22

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How to cite this article:
Pawar R, Sagar P, Biswal S, Ravishankar H N. Multimodal imaging of retinal astrocytic hamartoma associated with retinitis pigmentosa. Indian J Ophthalmol Case Rep 2023;3:637

How to cite this URL:
Pawar R, Sagar P, Biswal S, Ravishankar H N. Multimodal imaging of retinal astrocytic hamartoma associated with retinitis pigmentosa. Indian J Ophthalmol Case Rep [serial online] 2023 [cited 2023 Jun 6];3:637. Available from: https://www.ijoreports.in/text.asp?2023/3/2/637/374975



Retinal astrocytic hamartoma (RAH) was incidentally detected in an 18-year-old girl with retinitis pigmentosa. Yellowish multinodular lesion was seen in the right eye inferonasal to optic disk [Figure 1]a. On fundus autofluorescence, the lesion was hyper autofluorescent [Figure 1]b. Cross-sectional optical coherence tomography (OCT) showed “moth-eaten” hyporeflective spaces suggestive of type 3 RAH [Figure 1]c. En face OCT angiography showed absence of vascular signal [Figure 1]d. Electroretinogram of both the eyes showed reduced rod and cone response. This report demonstrates the rare association of RAH and retinitis pigmentosa, similar to the previous reports.[1],[2]
Figure 1: (a) Color photograph of the right eye showing arteriolar attenuation, bony spicule pigmentation, and yellowish multinodular lesion. (b) Fundus autofluorescence image of the right eye showing hyperfluorescent lesion. (c) Optical coherence tomography through the lesion showing hyporeflective spaces. (d) Enface OCT angiography showing absence of vascular signal within the lesion. OCT = optical coherence tomography

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Kinori M, Moroz I, Rotenstreich Y, Yonath H, Fabian ID, Vishnevskia-Dai V. Bilateral presumed astrocytic hamartomas in a patient with retinitis pigmentosa. Clin Ophthalmol 2011;5:1663-5.  Back to cited text no. 1
    
2.
Iovino C, Casini G, Peiretti E. Bilateral noncalcified astrocytic hamartomas in retinitis pigmentosa: Multimodal imaging evaluation over 8 years of follow-up. Eur J Ophthalmol 2019;29:NP18-21.  Back to cited text no. 2
    


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