The Convex Retina: Optical Coherence Tomography in Hypermetropic Shift, Without Choroidal Folds, from Intraconal Cavernous Haemangioma

• Published in: Orbit (Amsterdam) Vol. 28; no. 6; pp. 398 - 400
• Main Authors: Weir, Robert E., Evans, Sam, Hajdu, Steven David, Potts, Mike J.
• Format: Journal Article
• Language: English
• Published: England Informa UK Ltd 01.12.2009; Taylor & Francis
• Subjects: Adult; Choroid Diseases - diagnosis; Choroid Diseases - etiology; Choroidal folds; Female; Haemangioma; Hemangioma, Cavernous - complications; Hemangioma, Cavernous - diagnosis; Hemangioma, Cavernous - surgery; Humans; Hypermetropia; Hyperopia - diagnosis; Hyperopia - etiology; Intraconal mass; Magnetic Resonance Imaging; OCT; Orbital Neoplasms - complications; Orbital Neoplasms - diagnosis; Orbital Neoplasms - surgery; Retinal Diseases - diagnosis; Retinal Diseases - etiology; Tomography, Optical Coherence; Tomography, X-Ray Computed; Visual Acuity
• ISSN: 0167-6830; 1744-5108
• DOI: 10.3109/01676830903104553

A 36-year-old female referred with improving unaided vision in her left myopic eye was found to have a left 4.5 diopter hypermetropic shift. Examination revealed a left 2 mm proptosis but was otherwise normal with no choroidal folds on fundoscopy and bilateral 6/5 corrected vision. Her visual field and B scan image were also unremarkable. Optical Coherence Tomography (OCT) imaging demonstrated left-sided anterior retinal bowing with a convex retinal appearance. Magnetic Resonance Imaging (MRI) confirmed a well-circumscribed intraconal mass. The intraconal mass was successfully removed via lateral orbitotomy and confirmed as a cavernous haemangioma on histological assessment. We document these OCT findings and review published ultrasound detected scleral deformation from similar retro-orbital mass cases.