Retinal Ischemia as a Presenting Ocular Sign of Neurofibromatosis Type 2

Purpose. Specific retinal abnormalities of neurofibromatosis type 2 (NF2) commonly include retinal astrocytoma and combined hamartoma of the retina and retinal pigment epithelium. Vasculopathy is an uncommon manifestation of NF2. We reported an NF2 patient presenting with retinal ischemia. Observati...

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Main Authors: Binbin Zhao, Yan Yan
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Ophthalmological Medicine
Online Access:http://dx.doi.org/10.1155/2024/9133929
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author Binbin Zhao
Yan Yan
author_facet Binbin Zhao
Yan Yan
author_sort Binbin Zhao
collection DOAJ
description Purpose. Specific retinal abnormalities of neurofibromatosis type 2 (NF2) commonly include retinal astrocytoma and combined hamartoma of the retina and retinal pigment epithelium. Vasculopathy is an uncommon manifestation of NF2. We reported an NF2 patient presenting with retinal ischemia. Observations. An 18-year-old healthy Chinese female with acute decreased vision. The fundus examination and optical coherence tomography revealed optic disc hamartoma in the right eye and paracentral acute middle maculopathy (PAMM) and cotton wool spot indicating retinal ischemia in the left eye. Brain MRI showed bilateral acoustic neuroma, parasellar meningioma, and cervical extramedullary tumor. The genetic test confirmed the diagnosis of NF2. Conclusions and Importance. Our case suggests that retinal ischemia could be the presenting sign of NF2. NF2 could be associated with retinal vasculopathy in addition to retina tumors.
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series Case Reports in Ophthalmological Medicine
spelling doaj-art-c6ec18b8e51643688dc86638660881e32025-02-03T06:14:52ZengWileyCase Reports in Ophthalmological Medicine2090-67302024-01-01202410.1155/2024/9133929Retinal Ischemia as a Presenting Ocular Sign of Neurofibromatosis Type 2Binbin Zhao0Yan Yan1Department of OphthalmologyDepartment of OphthalmologyPurpose. Specific retinal abnormalities of neurofibromatosis type 2 (NF2) commonly include retinal astrocytoma and combined hamartoma of the retina and retinal pigment epithelium. Vasculopathy is an uncommon manifestation of NF2. We reported an NF2 patient presenting with retinal ischemia. Observations. An 18-year-old healthy Chinese female with acute decreased vision. The fundus examination and optical coherence tomography revealed optic disc hamartoma in the right eye and paracentral acute middle maculopathy (PAMM) and cotton wool spot indicating retinal ischemia in the left eye. Brain MRI showed bilateral acoustic neuroma, parasellar meningioma, and cervical extramedullary tumor. The genetic test confirmed the diagnosis of NF2. Conclusions and Importance. Our case suggests that retinal ischemia could be the presenting sign of NF2. NF2 could be associated with retinal vasculopathy in addition to retina tumors.http://dx.doi.org/10.1155/2024/9133929
spellingShingle Binbin Zhao
Yan Yan
Retinal Ischemia as a Presenting Ocular Sign of Neurofibromatosis Type 2
Case Reports in Ophthalmological Medicine
title Retinal Ischemia as a Presenting Ocular Sign of Neurofibromatosis Type 2
title_full Retinal Ischemia as a Presenting Ocular Sign of Neurofibromatosis Type 2
title_fullStr Retinal Ischemia as a Presenting Ocular Sign of Neurofibromatosis Type 2
title_full_unstemmed Retinal Ischemia as a Presenting Ocular Sign of Neurofibromatosis Type 2
title_short Retinal Ischemia as a Presenting Ocular Sign of Neurofibromatosis Type 2
title_sort retinal ischemia as a presenting ocular sign of neurofibromatosis type 2
url http://dx.doi.org/10.1155/2024/9133929
work_keys_str_mv AT binbinzhao retinalischemiaasapresentingocularsignofneurofibromatosistype2
AT yanyan retinalischemiaasapresentingocularsignofneurofibromatosistype2