NEJMからimage: 網膜芽細胞腫の leukocoria

久しぶりに NEJMのイメージから・・・・

Images in Clinical Medicine

Retinoblastoma

Tan Aik Kah, M.S. (Ophthal.), and Faridah Hanom Annuar, M.S.

N Engl J Med 2012; 367:258July 19, 2012

網膜芽細胞腫の leukocoria（白色瞳孔）である。

What conditions cause leukocoria?　(米国小児眼科学会HPより）

Many conditions cause leukocoria including cataract, retinal detachment, retinopathy of prematurity, retinal malformation, intraocular infection endophthalmitis), retinal vascular abnormality, and intraocular tumor (retinoblastoma).

あるいは

CAUSES OF LEUKOCORIA

The common causes of leukocoria in children include

• Retinoblastoma (47 percent of cases in one series)
  
• Persistent fetal vasculature
• Retinopathy of prematurity
• Cataract
• Coloboma (fissure or cleft) of choroid or optic disc
• Uveitis
• Toxocariasis
• Coats disease
• Vitreous hemorrhage
• Retinal dysplasia