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- Title
Primary ocular presentation of tuberous sclerosis - A case report.
- Authors
Rajasekaran, Nancy; Horo, Saban; Kuriakose, Thomas; Rajasekaran, Nancy M
- Abstract
A 25-year-old man presented with decreased vision in the left eye with hypopigmented elevated subretinal lesion over the optic disk with abnormal vasculature, subretinal and retinal hemorrhages, and fluid in the macula. An area of high spike over the disk with corresponding orbital shadowing was seen on B scan ultrasonography. Fundus fluorescein angiography revealed abnormal vasculature. Systemic examination revealed facial angiofibroma, ashleaf spot, and dental pits with multiple cortical tubers on CT brain. Intravitreal injection of bevacizumab led to visual and tomographic improvement. Abnormal retinal vascularization and exudation in young individuals may be a presenting feature in tuberous sclerosis.
- Subjects
TUBEROUS sclerosis; MACULA lutea; FLUORESCENCE angiography; BEVACIZUMAB; BLOOD vessels; TUBERS; RETINAL disease diagnosis; TUBEROUS sclerosis diagnosis; ANGIOGRAPHY; CEREBRAL cortex; COMPUTED tomography; INJECTIONS; NEOVASCULARIZATION inhibitors; OPTIC nerve; RETINA; RETINAL diseases; VISUAL acuity; OPTICAL coherence tomography; HAMARTOMA; DISEASE complications
- Publication
Indian Journal of Ophthalmology, 2019, Vol 67, Issue 3, p433
- ISSN
0301-4738
- Publication type
case study
- DOI
10.4103/ijo.IJO_925_18