Angioma-like mass in a patient with retrolental fibroplasia.

A 13-year-old boy had mild vitreous hemorrhage in the left eye, and a red angioma-like epiretinal mass in the equatorial zone of the temporal fundus. The retina anterior to the mass was nonvascularized, and similar nonvascularization of the pre-equatorial retina was present in the temporal quadrants of the fellow eye. Fluorescein angiography showed intraretinal neovascularization along the margin of the perfused and nonperfused retina and leakage from portions of the angioma-like mass, suggesting that it was composed of neovascular tissue and adjacent hemorrhage. The patient had been a premature infant, with a birth weight of 1,092 g, supporting the presumptive diagnosis of previously asymptomatic retrolental fibroplasia. Photocoagulation was successful in obliterating the neovascular tissue.