De novo emergence of a circumscribed choroidal hemangioma in a premature infant

Retin Cases Brief Rep. 2009 Fall;3(4):426-8. doi: 10.1097/ICB.0b013e31818a4745.

Abstract

Purpose: To present a case of a premature infant who was witnessed to have de novo development of a circumscribed choroidal hemangioma over the course of routine retinopathy of prematurity screening.

Methods: Retrospective case report.

Results: A former 29-week, 1446-g premature infant boy was examined multiple times by both a pediatric retinal specialist and pediatric ophthalmologist before a posterior pole circumscribed choroidal hemangioma was noted, initially at postmenstrual age 39 weeks. The tumor remained fairly stable until the most recent follow-up examination at 2 years of age when it was noted to be much less prominent.

Conclusion: Circumscribed choroidal hemangiomas previously have been thought to be congenital in nature. We present the earliest described case as well as the first de novo emergence of such a tumor.