DOI: 10.36347/sjmcr.2018.v06i04.011

Pages: 256-258

Retinal capillary hemangioblastomas (RCH) are usually associated with von Hippel-Lindau (VHL) disease although they may present as a solitary tumour without systemic involvement. We present a case report on a healthy young female who is found to have a solitary retinal capillary hemangioblastoma. The presenting ocular complaint was floaters and on examination vision was 6/6. Clinical findings and angiographic studies supported the diagnosis. She was initially observed as her vision was good and there was no macula involvement. Unfortunately she suffered a drop in visual acuity and was then subjected to five intravitreal Ranibizumab injections and cryotherapy. She managed to retain best corrected visual acuity (BCVA) of 6/9 following treatment. This case report is to highlight the unusual occurrence of solitary retinal capillary haemangioblastoma, various possible differential diagnoses to be considered and the treatment options available.