DR. RASHMI HG

DR.CHINMAYEE THRISHULA MURTHY

Abstract

OBJECTIVE-To report a rare case of bilateral retinal astrocytoma in congenitally BLIND eyes

DESIGN-Descriptive study

METHOD-35 year old male blind patient presents with Protruding mass from right eye since 3years,gradually progressive,painless.MRI orbit showed Bilateral hypo to isointense mass with calcification implied B/L neoplatic intraocular mass.Provisional diagnosis of adult retinoblastoma was made.A thorough metastatic workup including PET scan was done which showed no systemic involvement.Right eye was enucleated,sent for histopathology

RESULT-Histopathology showed features suggestive of retinal astrocytoma with strong positivity for glial fibrillary acidic protein.Left eye enucleation was done, histopathology showed same finding as right eye

Conclusion-retinal astrocytoma are rare benign glial tumors.It usually associated with tuberous sclerosis,rarely presents sporadically. Few cases of retinal astrocytoma which presents aggressively,can be misdiagnosed as Retinoblastoma