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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
  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.

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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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