PMC3206118_01
Color fundus photograph (A) and red-free photograph (B) of the left eye at baseline, showing multilevel hemorrhage due to a macroaneurysm. There is fluorescein filling of the macroaneurysm during the early phase (C) and mild leakage during late phase (D).
opth-5-1475f1.jpg
PMC3206118_01_opth-5-1475f1.jpg
f1-opth-5-1475
Dilated fundoscopy showed an arterial MA along the superior temporal vascular arcades, accompanied by pre- and subretinal hemorrhage OS (Figure 1A and B). Fluorescein angiography revealed early filling with late leakage of the MA and significant masking due to a hemorrhage involving the macula (Figure 1C and D).
Two months later: color fundus photograph of the left eye (A) and red-free photograph of the macroaneurysm (B) showing the fundus to be more normal, whereas early to midphase fluorescein angiogram (C) shows normal filling of the artery, and the later phase fluorescein angiogram (D) shows a substantial leakage.
opth-5-1475f2.jpg
PMC3206118_01_opth-5-1475f2.jpg
f2-opth-5-1475
This was also confirmed with angiography (Figure 2A-D).
Thirty-nine months later: color fundus photograph of the left eye (A); red-free photograph (B); early (C) and late (D) phase of the fluorescein angiogram showing complete absorption of hemorrhage and resolution of the macroaneurysm leaving focal perivascular fibrosis.
opth-5-1475f3.jpg
PMC3206118_01_opth-5-1475f3.jpg
f3-opth-5-1475
At the final follow-up visit (39 months after diagnosis), vision remained at 0.8 OS and a final fluorescein angiogram confirmed the complete absorption of hemorrhages, with normal perfusion of the previously affected retina (Figure 3A-D).