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.
Submitted by Rhadika Dhamija MD
Dr. Dhamija has no disclosures.
For more clinical pearls and other articles of interest to neurology trainees, visit www.neurology.org and click on the link to the Resident and Fellow Pages. Click here to visit the E-Pearl of the Week Archive.