Abstract
Purpose: :
To evaluate clinical characteristics and visual outcomes.
Methods: :
Retrospective review.
Results: :
Of 77 patients, the mean age at presentation was 12 years. The majority were Caucasian(91%) and male(68%). Referring diagnosis was correct in 25% of cases. Incorrect diagnoses included melanoma (8%), nevus (6%), and retinoblastoma (5%). The most common presenting symptom was decreased visual acuity (32%). The mean tumor thickness was 2mm and base 8mm. The visual acuity decreased from initial visit (macular tumor 20/320, extramacular tumor 20/80) to 10-year follow-up (macular tumor 20/2000, extramacular tumor 20/100).
Conclusions: :
Combined hamartoma is often misdiagnosed. Progressive visual loss is common, particularly with macular tumors.
Keywords: retina • retinal pigment epithelium • tumors