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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2013
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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) |
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Ophthalmology RE1-994 Mansour AM Jaroudi MO Hemorrhagic retinal macrocysts, simulating choroidal melanoma: a case report |
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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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1718401735843643392 |