DR. SHWETA PARAKH

DR. LUTHRA SAURABH, DR.SHRUTANJOY MOHAN DAS, DR. VAIBHAV BHATT

Abstract

A 44-year-old lady presented with DOV OS for 4 months.BCVA was OD 6/6,OS 6/12. Fundus was normal OD;OS showed a normal optic disc,ERM,hard exudate plaque at macula;dilated tortuous feeder & draining vessels were noted at the posterior pole with a reddish orange nodular retinal mass lesion(4DD x 3DD)in STQ periphery OS on Optos.FFA OS showed early hyperfluorescence and late leakage from the mass;findings were suggestive of retinal capillary hemangioblastoma (RCH) OS. USG abdomen and MRI brain were normal.There was no family history of Von Hippel Landau (VHL) disease. Patient received intravitreal ranibizumab followed by 2 sittings of sectoral PRP OS. At 2 months follow-up, BCVA was 6/9 OS.RCH had regressed in size with reduction in dilatation& tortuosity.

Solitary RCH can occur in the absence of VHL disease,but its presence entails detailed systemic evaluation to rule out characteristic life-threatening associations such as renal cell carcinoma,pheochromocytoma & CNS hemangioblastoma.