PMC3843924_01
a B-mode echography before surgery. No retinal detachment was observed, but mass refraction on the optic disc was seen (arrow). b Fundus photograph of the macroaneurysm during surgery. The macroaneurysm was almost equal in diameter to the optic disc and was beating. Blood oozing was found. c Fundus photograph 3 months after surgery. The macroaneurysm shrunk to 1/3 of the disc diameter. d Representative contrast-enhanced computed tomography images at the development of acute aortic dissection. Triple-barreled aortic dissection is shown in both images (arrowheads).
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F1
B-mode echography showed no retinal detachment, but there was mass refraction on the optic disc (fig. 1a). After removing the vitreous hemorrhage, a large macroaneurysm appeared on the optic disc (fig. 1b). The fundus photograph made 3 months after surgery is shown below (fig. 1c). She did not have hyperlipidemia, but she developed acute Stanford type A aortic dissection at the age of 51 (fig. 1d) and underwent synthetic graft replacement surgery.