Vasoproliferative Tumor Unveils Familial Exudative Vitreoretinopathy In An Elderly Male

We present an unusual case of retinal vasoproliferative tumor (VPT), which uncovered the diagnosis of familial exudative vitreoretinopathy (FEVR), which was otherwise quiescent up until the cataract surgery. A 53-year-old male underwent left eye cataract surgery a month ago, with no improvement in vision after surgery. The fundus revealed exudation and vitreous haze, which were misdiagnosed initially as postcataract surgery inflammation/infection. An ultrasound and fluorescein angiography were performed, which revealed the presence of VPT. The patient was then treated with oral steroids, laser to avascular retina, and cryotherapy to the tumor. It is crucial to distinguish these entities from VPT as there are significant differences in the prognosis and management. It highlights the importance of other eye examination which helped in diagnosing an underlying bilateral pathology as well as the possibility of delayed diagnosis of FEVR in the elderly.