DR. SUMIT

DR. REENA KUMARI, DR.DINESH KUMAR BHAGAT

Abstract

A 12 months female child with history of developmental delay and past history of seizures was evaluated in eye clinic. Fundus examination of the right eye revealed 1.5-disc diameter flat lesion with well defined margins in close proximity to the optic disc obscuring the underlying retinal vessels suggestive of retinal astrocytic hamartoma. Left eye showed a similar lesion in inferotemporal mid-periphery. Rest of the ocular examination was unremarkable. Computed tomography revealed multiple, calcified sub-ependymal nodules on the walls of the lateral ventricles. Based on the clinical history and the findings, diagnosis of tuberous sclerosis was confirmed. Though majority of the retinal astrocytic hamartomas are small, a subset may progress in size leading to visual threatening complications such as choroidal neovascularization, exudative retinal detachment prompting the need of regular follow up.