PMC3236711_01
(A) Bilateral multiple peripapillary presumed astrocytic hamartomas. Multiple small lesions distant from the optic nerve are seen in the left eye. Lines represent planes of optical coherence tomography (OCT) images. (B) Bilateral OCT from the patient showing gradual transition from a normal retina to the hyper-reflective intraretinal mass, anterior surface hyper-reflectivity, and loss of normal retinal organization. Note the characteristic moth-eaten pattern that occurs in the upper third of the tumor. (C) B-mode ultrasound echography of both eyes showing hyperechogenic masses (green arrows) with posterior shadowing (purple arrowheads).
opth-5-1663f1.jpg
PMC3236711_01_opth-5-1663f1.jpg
f1-opth-5-1663
The authors present a case of a 24-year-old Georgian male with abnormal retinal findings consisting of multiple bilateral retinal astrocytic hamartomas or "giant drusen" (Figure 1A). OCT (Cirrus HD-OCT, v 5.1.1.6; Carl Zeiss Meditec, Jena, Germany) of the optic nerves revealed features characteristic of astrocytic hamartomas ( Figure 1B). Figure 1C). Family history was negative for phacomatoses.