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A child with unilateral disk elevation
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DOI：10.1016/j.survophthal.2019.05.004.png)
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Abstract
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A healthy 7-year-old girl underwent a routine eye examination and was referred for unilateral, left optic nerve swelling. Best-corrected visual acuity in the affected eye was 20/20 with full Ishihara color plates and no relative afferent pupillary defect. Initial extensive workup was normal for any cause of unilateral disk swelling. When the patient returned a few years later with decreased vision, a thickened, gray-white preretinal tissue with surrounding retinal contraction and a surrounding charcoal gray lesion had developed in her optic nerve. Spectral-domain optical coherence tomography over the optic nerve demonstrated distortion of the inner retinal architecture, a dense epiretinal membrane, and high internal reflectivity. Clinical examination and imaging revealed a diagnosis of combined hamartoma of the retina and retinal pigment epithelium. (C) 2019 Elsevier Inc. All rights reserved.
Keywords:
combined hamartoma of the retina and retinal pigment epithelium
ocular oncology
pseudopapilledema
optical coherence tomography
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