The "Tomato Ketchup" and "Squashed Tomato" fundi

December 21, 2010

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E-Pearl of the Week

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December 20th

The “Tomato Ketchup” and “Squashed Tomato” fundi

In Sturge-Weber syndrome (SWS), posterior choroidal vasculature is thickened, forming diffuse choroidal angiomas. This appears more red than the background fundus, a finding sometimes called the "tomato ketchup" fundus. Angiomas of the choroid occur in up to 40 percent of patients with SWS. A similar appearance of the fundus can also be seen in solitary circumscribed choroidal angiomas.

"Squashed tomato" fundus has been described in central retinal vein occlusion as it can cause massive retinal hemorrhages with dilated veins.

Reference

1. JH Doggart. Vessels Of The Ocular Fundus As A Guide To Prognosis. The British Medical Journal 1956;1:1501-1507.

Submitted by Rhadika Dhamija MD

Dr. Dhamija has no disclosures.

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