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Curious case of retrolental mass: An unusual tele-screening artifact

Ratnesh Ranjan1, Parag K Shah1, Venkatapathy Narendran1

  • 1Department of Paediatric Retina and Ocular Oncology, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Coimbatore, Tamil Nadu, India.

Indian Journal of Ophthalmology
|February 20, 2019
PubMed

Insights

A case of retinopathy of prematurity (ROP) tele-screening revealed an imaging artifact mimicking a serious eye condition. This false-positive finding highlights the importance of careful interpretation in ROP diagnostics.

Area of Science:

  • Ophthalmology
  • Medical Imaging
  • Neonatology

Background:

  • Premature infants require regular screening for retinopathy of prematurity (ROP).
  • Tele-screening utilizes advanced imaging systems for remote ROP assessment.
  • High-quality imaging and trained staff are crucial for accurate ROP diagnosis.

Observation:

  • An anterior segment image from ROP tele-screening showed a retrolental mass lesion.
  • The lesion in the right eye resembled retinoblastoma or medulloepithelioma.
  • The infant was referred for further evaluation due to the concerning imaging finding.

Findings:

  • A detailed examination at the base hospital revealed no retrolental lesion or intraocular mass.
  • The observed lesion was identified as an imaging artifact.
  • This artifact occurred despite the use of a high-quality imaging system and trained personnel.

Implications:

  • Imaging artifacts can lead to false-positive referrals in ROP tele-screening.
  • Careful interpretation of imaging is essential to avoid unnecessary patient anxiety and interventions.
  • This case underscores the need for vigilance in diagnostic imaging, even with advanced technology.

Keywords:
Retrolental masstele-screeningteleophthalmology

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