Abstract
We present a 12-year-old girl with Type 3 Gaucher disease who was found to have bilateral white vitreous opacities. Three years later, she developed a hemorrhagic posterior vitreous detachment requiring pars plana vitrectomy. Vitreous histopathology revealed clusters of histiocytes within abundant fibrinous material, consistent with ocular Gaucher disease.
Purpose:To describe the case of a 12-year-old woman with vitreoretinal manifestations of Type 3 Gaucher disease.Methods:A retrospective case report including multimodal imaging and histologic examination of the vitreous.Results:A 12-year-old woman with a history of Gaucher disease Type 3 was referred to the ophthalmology service for evaluation of vitreous deposits in both eyes. Funduscopic examination was notable for white vitreous opacities in both eyes. Ultra-widefield fluorescein angiography demonstrated areas of blockage associated with the deposits and focal areas of leakage. Optical coherence tomography angiography showed shadow artifact without intrinsic flow at these sites. Three years after presentation, she developed a right hemorrhagic posterior vitreous detachment, requiring pars plana vitrectomy with scleral buckle. A vitreous sample was sent to pathology, which demonstrated Gaucher cells.Conclusion:Gaucher disease is a rare metabolic condition caused by an autosomal recessive deficiency of glucocerebrosidase. To the best of our knowledge, this is the first report of hemorrhagic posterior vitreous detachment in Type 3 Gaucher disease, including ultra-widefield imaging, optical coherence tomography angiography, and histopathology.