Retino Vasoproliferative Tumor with Traumatic Scar
This patient presented with complaints of intermittent flashes and floaters and blurred vision. His visual acuity measured to be 20/20 in the right eye and count fingers (CF) at 6 feet in the left. Fundus examination showed peripapillary scarring of the left optic disc (yellow arrow) and a pigmented lesion with clusters of veins (white arrow). This lesion is known as a retinal vasoproliferative tumor. In most cases, if the lesion does not grow, leak, or bleed, observation is recommended. The black chorioretinal scar that involves the macula and extends temporally was caused from trauma years before. Optical coherence tomography (OCT) scans show a normal right eye but a left eye with traumatic submacular scarring and disorganization and thinning of the retinal layers (blue arrows). The red arrow points to the vasoproliferative tumor that is above the retinal pigment epithelium (RPE). Treatments for these tumors include photodynamic therapy laser or cryotherapy. In this case, no treatment was needed. He was advised to wear safety glasses to protect his good eye in conjunction with periodic observation.