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Br J Ophthalmol 83:753 doi:10.1136/bjo.83.6.e753
  • Letter to the Editor

Orbital haemangiopericytoma simulating an intraocular mass

  1. WALTENIO V DINIZ,
  2. CAROL L SHIELDS,
  3. JERRY A SHIELDS,
  4. KAAN GUNDUZ
  1. Ocular Oncology Service of the Wills Eye Hospital, Thomas Jefferson University, Philadelphia, USA
  2. Saint Morries Hospital, Langhorne, PA, USA
  • Accepted 16 December 1998
  1. ALAN BRACKUP
  1. Ocular Oncology Service of the Wills Eye Hospital, Thomas Jefferson University, Philadelphia, USA
  2. Saint Morries Hospital, Langhorne, PA, USA
  1. Jerry A Shields, MD, Ocular Oncology Service, Wills Eye Hospital, 900 Walnut Street, Philadelphia, PA 19107, USA.
  • Accepted 16 December 1998

Editor,—Most patients with orbital tumours present with proptosis.1 2 It is uncommon for an orbital mass to cause symptoms and signs simulating intraocular disease. We report the case of a patient with an orbital tumour that was initially suspected to be an intraocular tumour.

CASE REPORT

A 71 year old woman noted a photopsia, diplopia, and peripheral scotoma in her left eye. She was evaluated and underwent laser treatment for suspected retinal hole at the margin of a presumed retinal detachment. After non-resolution of the “detachment”, a second ophthalmologist raised the possibility that the fundus lesion was a choroidal melanoma. The patient was then referred to the oncology service for further management. Ocular examination revealed corrected visual …

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