This 39YO female presented with an asymptomatic vasoproliferative tumor (VPT). The VPT initially appeared as a vascularized, reddish, elevated, peripheral mass.
Fluorescein angiography revealed the vascular nature of the lesion. The lesion was treated with cryotherapy and already showed signs of regression at the 1-month postoperative exam.
Learning Points:
Vasoproliferative tumors are benign globular, dome-shaped lesions arising in the peripheral retina. They can be yellow or red and cause subretinal exudation and detachment, anterior or posterior segment neovascularization, and vitreous hemorrhage.
They can be primary idiopathic lesions (as in our patient) or a vascular response to various entities, including intermediate uveitis, retinitis pigmentosa, Coats disease, and prior retinal detachment (see Shields et al, JAMA Ophthalmology 2013;131;328-334).
The lesions can be treated with thermal laser, cryotherapy, and/or anti-VEGF injections.
