Pseudopapilledema With Retinal Neovascularization, Fluorescein Angiogram

This 8-year-old boy presented with a 2-week history of decreased vision in the right eye. He had undergone a normal MRI and CSF examination, including intracranial pressure, before neuro-ophthalmologic assessment. The fundus photographs and fluorescein angiograms show subretinal neovascularization associated with pseudopapilledema, presumably due to buried drusen. Image 92_17 is the early venous phase of the fluorescein angiogram OD. Subretinal heme blocks fluorescence in the papillomacular area except for one small spot at the temporal extremity of heme.