Back to Journals » Clinical Ophthalmology » Volume 7

Hemorrhagic retinal macrocysts, simulating choroidal melanoma: a case report

Authors Mansour AM, Jaroudi MO

Received 25 March 2013

Accepted for publication 15 April 2013

Published 28 May 2013 Volume 2013:7 Pages 973—976

DOI https://doi.org/10.2147/OPTH.S45711

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Ahmad M Mansour,1 Mahmoud O Jaroudi2

1Department of Ophthalmology, American University of Beirut, Beirut, Lebanon; 2Department of Ophthalmology, Rafic Hariri University Hospital, Beirut, Lebanon

Introduction: Hemorrhagic retinal macrocysts are extremely rare retinal lesions that can be mistaken for malignancy with subsequent enucleation. Such a case was diagnosed, by a retina specialist based on ultrasonography, as a choroidal melanoma with exudative retinal detachment and the patient was advised to have brachytherapy.
Case presentation: A 15-year-old Caucasian boy suffered sudden visual loss in the left eye and exam revealed vitreous hemorrhage. Magnetic resonance imaging revealed the mass as hyperintense on T1-weighted images and isointense on T2-weighted images with no enhancement after gadolinium dye. Following scleral buckle, the hemorrhagic retinal macrocyst collapsed gradually over a period of 5 weeks. The patient recovered visual acuity of 6/7.5 at the 1-year follow up.
Conclusion: A hemorrhagic retinal macrocyst can be erroneously diagnosed as choroidal melanoma. Hints for the presence of retinal macrocysts include: egg shape; cyst wall configuration; no attachment to the choroid; and presence of retinal detachment.

Keywords: choroidal melanoma, retinal macrocyst, retinal detachment

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]

 

Other articles by this author:

Central cortical cleanup and zonular deficiency

Mansour AM, Antonios RS, Ahmed IIK

Clinical Ophthalmology 2016, 10:1919-1923

Published Date: 4 October 2016

Intravitreal ziv-aflibercept for macular edema following retinal vein occlusion

Paulose R, Chhablani J, Dedhia CJ, Stewart MW, Mansour AM

Clinical Ophthalmology 2016, 10:1853-1858

Published Date: 22 September 2016

Isolated posterior capsular rupture following blunt head trauma

Mansour AM, Jaroudi MO, Hamam RN, Maalouf FC

Clinical Ophthalmology 2014, 8:2403-2407

Published Date: 28 November 2014

Ocular manifestations of idiopathic aplastic anemia: retrospective study and literature review

Mansour AM, Lee JW, Yahng SA, Kim KS, Shahin M, Hamerschlak N, Belfort RN, Kurup SK

Clinical Ophthalmology 2014, 8:777-787

Published Date: 17 April 2014

Cataract surgery during active methicillin-resistant Staphylococcus aureus infection

Mansour AM, Salti HI

Clinical Ophthalmology 2014, 8:739-742

Published Date: 15 April 2014

Dexmedetomidine sedation in painful posterior segment surgery

Mansour A, Taha S

Clinical Ophthalmology 2012, 6:2075-2079

Published Date: 13 December 2012

Five-year visual results of intravitreal bevacizumab in refractory inflammatory ocular neovascularization

Mansour AM, Mackensen F, Mahendradas P, Khairallah M, Lai TY, Bashshur Z

Clinical Ophthalmology 2012, 6:1233-1237

Published Date: 1 August 2012

Insight into 144 patients with ocular vascular events during VEGF antagonist injections

Mansour AM, Shahin M, Kofoed PK, Parodi MB, Shami M, Schwartz SG

Clinical Ophthalmology 2012, 6:343-363

Published Date: 6 March 2012

Readers of this article also read:

Isolated posterior capsular rupture following blunt head trauma

Mansour AM, Jaroudi MO, Hamam RN, Maalouf FC

Clinical Ophthalmology 2014, 8:2403-2407

Published Date: 28 November 2014

Green synthesis of water-soluble nontoxic polymeric nanocomposites containing silver nanoparticles

Prozorova GF, Pozdnyakov AS, Kuznetsova NP, Korzhova SA, Emel’yanov AI, Ermakova TG, Fadeeva TV, Sosedova LM

International Journal of Nanomedicine 2014, 9:1883-1889

Published Date: 16 April 2014

Methacrylic-based nanogels for the pH-sensitive delivery of 5-Fluorouracil in the colon

Ashwanikumar N, Kumar NA, Nair SA, Kumar GS

International Journal of Nanomedicine 2012, 7:5769-5779

Published Date: 15 November 2012

A novel preparation method for silicone oil nanoemulsions and its application for coating hair with silicone

Hu Z, Liao M, Chen Y, Cai Y, Meng L, Liu Y, Lv N, Liu Z, Yuan W

International Journal of Nanomedicine 2012, 7:5719-5724

Published Date: 12 November 2012

Cross-linked acrylic hydrogel for the controlled delivery of hydrophobic drugs in cancer therapy

Deepa G, Thulasidasan AK, Anto RJ, Pillai JJ, Kumar GS

International Journal of Nanomedicine 2012, 7:4077-4088

Published Date: 27 July 2012

Crystallization after intravitreal ganciclovir injection

Pitipol Choopong, Nattaporn Tesavibul, Nattawut Rodanant

Clinical Ophthalmology 2010, 4:709-711

Published Date: 14 July 2010