Hemorrhagic retinal macrocysts, simulating choroidal melanoma: a case report

Ahmad M Mansour,1 Mahmoud O Jaroudi21Department of Ophthalmology, American University of Beirut, Beirut, Lebanon; 2Department of Ophthalmology, Rafic Hariri University Hospital, Beirut, LebanonIntroduction: Hemorrhagic retinal macrocysts are extremely rare retinal lesions that can be mistaken for ma...

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Autores principales: Mansour AM, Jaroudi MO
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Lenguaje:EN
Publicado: Dove Medical Press 2013
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spelling oai:doaj.org-article:783aa437823b406999af140927cc68ea2021-12-02T03:26:39ZHemorrhagic retinal macrocysts, simulating choroidal melanoma: a case report1177-54671177-5483https://doaj.org/article/783aa437823b406999af140927cc68ea2013-05-01T00:00:00Zhttp://www.dovepress.com/hemorrhagic-retinal-macrocysts-simulating-choroidal-melanoma-a-case-re-a13179https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Ahmad M Mansour,1 Mahmoud O Jaroudi21Department of Ophthalmology, American University of Beirut, Beirut, Lebanon; 2Department of Ophthalmology, Rafic Hariri University Hospital, Beirut, LebanonIntroduction: Hemorrhagic retinal macrocysts are extremely rare retinal lesions that can be mistaken for malignancy with subsequent enucleation. Such a case was diagnosed, by a retina specialist based on ultrasonography, as a choroidal melanoma with exudative retinal detachment and the patient was advised to have brachytherapy.Case presentation: A 15-year-old Caucasian boy suffered sudden visual loss in the left eye and exam revealed vitreous hemorrhage. Magnetic resonance imaging revealed the mass as hyperintense on T1-weighted images and isointense on T2-weighted images with no enhancement after gadolinium dye. Following scleral buckle, the hemorrhagic retinal macrocyst collapsed gradually over a period of 5 weeks. The patient recovered visual acuity of 6/7.5 at the 1-year follow up.Conclusion: A hemorrhagic retinal macrocyst can be erroneously diagnosed as choroidal melanoma. Hints for the presence of retinal macrocysts include: egg shape; cyst wall configuration; no attachment to the choroid; and presence of retinal detachment.Keywords: choroidal melanoma, retinal macrocyst, retinal detachmentMansour AMJaroudi MODove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 973-976 (2013)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Mansour AM
Jaroudi MO
Hemorrhagic retinal macrocysts, simulating choroidal melanoma: a case report
description Ahmad M Mansour,1 Mahmoud O Jaroudi21Department of Ophthalmology, American University of Beirut, Beirut, Lebanon; 2Department of Ophthalmology, Rafic Hariri University Hospital, Beirut, LebanonIntroduction: Hemorrhagic retinal macrocysts are extremely rare retinal lesions that can be mistaken for malignancy with subsequent enucleation. Such a case was diagnosed, by a retina specialist based on ultrasonography, as a choroidal melanoma with exudative retinal detachment and the patient was advised to have brachytherapy.Case presentation: A 15-year-old Caucasian boy suffered sudden visual loss in the left eye and exam revealed vitreous hemorrhage. Magnetic resonance imaging revealed the mass as hyperintense on T1-weighted images and isointense on T2-weighted images with no enhancement after gadolinium dye. Following scleral buckle, the hemorrhagic retinal macrocyst collapsed gradually over a period of 5 weeks. The patient recovered visual acuity of 6/7.5 at the 1-year follow up.Conclusion: A hemorrhagic retinal macrocyst can be erroneously diagnosed as choroidal melanoma. Hints for the presence of retinal macrocysts include: egg shape; cyst wall configuration; no attachment to the choroid; and presence of retinal detachment.Keywords: choroidal melanoma, retinal macrocyst, retinal detachment
format article
author Mansour AM
Jaroudi MO
author_facet Mansour AM
Jaroudi MO
author_sort Mansour AM
title Hemorrhagic retinal macrocysts, simulating choroidal melanoma: a case report
title_short Hemorrhagic retinal macrocysts, simulating choroidal melanoma: a case report
title_full Hemorrhagic retinal macrocysts, simulating choroidal melanoma: a case report
title_fullStr Hemorrhagic retinal macrocysts, simulating choroidal melanoma: a case report
title_full_unstemmed Hemorrhagic retinal macrocysts, simulating choroidal melanoma: a case report
title_sort hemorrhagic retinal macrocysts, simulating choroidal melanoma: a case report
publisher Dove Medical Press
publishDate 2013
url https://doaj.org/article/783aa437823b406999af140927cc68ea
work_keys_str_mv AT mansouram hemorrhagicretinalmacrocystssimulatingchoroidalmelanomaacasereport
AT jaroudimo hemorrhagicretinalmacrocystssimulatingchoroidalmelanomaacasereport
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