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December 1974

"Tomato-Catsup" Fundus in Sturge-Weber Syndrome

Author Affiliations

Allenhurst, NJ

Arch Ophthalmol. 1974;92(6):537. doi:10.1001/archopht.1974.01010010551023

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To the Editor.  —It is difficult to relate the statements (a) "most ophthalmologists know that choroidal angioma is associated with the Sturge-Weber syndrome" and (b) "However, when questioned about the ophthalmoscopic appearance of this lesion, they will commonly describe the findings seen in an adult with a hemangioma of the choroid" as reported in the July issue of the Archives (92:69, 1974) as the "tomato-catsup" fundus in Sturge-Weber syndrome.I believe the first case of this syndrome was reported by Schirmer (Arch Ophthalmol 7:119, 1860), wherein was described the occurrence of hydrophthalmos in a 36-year-old laborer with a naevus flammeus. Besides glaucomatous optic atrophy and excessively tortuous and dilated retinal veins, he noted that there was a markedly darkened appearance of the choroid in general. This difference in color was not only observed 114 years ago but it was observed in a 36-yearold individual.While I know priorities are of

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