Kaohsiung Journal of Medical Sciences
Volume 25, Issue 1 , Pages 40-44, January 2009

Coexistence of Optic Nerve Head Drusen and Combined Hamartoma of the Retina and Retinal Pigment Epithelium in a Taiwanese Male

  • Yo-Chen Chang

      Affiliations

    • Department of Ophthalmology, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University, Kaohsiung, Tzu Chi University, Hualien, Taiwan
  • ,
  • Rong-Kung Tsai

      Affiliations

    • Department of Ophthalmology, Buddhist Tzu Chi General Hospital, Tzu Chi University, Hualien, Taiwan
    • Department of Ophthalmology and Visual Science, Tzu Chi University, Hualien, Taiwan
    • Corresponding Author InformationAddress correspondence and reprint requests to: Dr Rong-Kung Tsai, Department of Ophthalmology, Buddhist Tzu Chi General Hospital, Tzu Chi University, No. 707, Section 3, Chung-Yang Road, Hualien 970, Taiwan

Received 12 February 2008; accepted 28 April 2008.

Article Outline

We report the case of a 38-year-old male patient with a 1-year history of progressively blurred vision in his left eye. He visited our clinic and underwent a series of ophthalmologic examinations including computed tomography, fluorescein angiography and optical coherence tomography. The final diagnosis was optic nerve head drusen and combined hamartoma of the retina and retinal pigment epithelium in his left eye.

Key Words:  combined hamartoma , optic nerve head drusen , retinal pigment epithelium

No full text is available. To read the body of this article, please view the PDF online.

 

Back to Article Outline

References 

  1. Gass JDM . An unusual hamartoma of the pigment epithelium and retina stimulating choroidal melanoma and retinoblastoma . Trans Am Ophthalmol Soc . 1973;71:171–185
  2. Schachat AP , Shields JA , Fine SL , et al.   Combined hamartomas of the retina and retinal pigment epithelium . Ophthalmology . 1984;91:1609–1615
  3. Rosenberg MA , Savino PJ , Glaser JS . A clinical analysis of pseudopapilledema I. Population, laterality, acuity, refractive error . Arch Ophthalmol . 1979;97:65–70
  4. Theobald GD , Floyd G , Kirk HQ . Hyperplasia of the retinal pigment epithelium . Am J Ophthalmol . 1958;45:235–240
  5. Shields CL , Mashayekhi A , Dai VV , et al.   Optical coherence tomographic findings of combined hamartoma of the retina and retinal pigment epithelium in 11 patients . Arch Ophthalmol . 2005;123:1746–1750
  6. Auw-Haedrich C , Staubach F , Witschel H . Optic disc drusen . Surv Ophthalmol . 2002;47:515–532
  7. Tso M . Pathology and pathogenesis of drusen of the optic nerve head . Ophthalmology . 1982;88:1066–1080
  8. Cilliers H , Harper CA . Photodynamic therapy with verteporfin for vascular leakage from a combined hamartoma of the retina and retinal pigment epithelium . Clin Experiment Ophthalmol . 2006;34:186–188
  9. Mateo C , Moreno JG , Lechuga M , et al.   Surgical removal of peripapillary choroidal neovascularization associated with optic nerve drusen . Retina . 2004;24:739–745

PII: S1607-551X(09)70039-7

doi:10.1016/S1607-551X(09)70039-7

Kaohsiung Journal of Medical Sciences
Volume 25, Issue 1 , Pages 40-44, January 2009