Von Hippel Lindau Disease

A 10-year-old girl was evaluated in the ophthalmologic department for funduscopic examination because of sustained hypertension, headaches, and vomiting for several weeks. General and ophthalmologic medical history was unremarkable. The patient had no ocular complaints, and visual acuity was unaffected. Dilated funduscopic examination showed no signs of hypertensive retinopathy or papilledema (Figure, A). However, in the right eye, a small, white-yellowish nodular lesion in the retinal periphery with connection to dilated and slightly tortuous afferent and efferent retinal vessels was noted (Figure, B).
Source: The Journal of Pediatrics - Category: Pediatrics Authors: Tags: Rediscovering the Physical Exam Source Type: research