PMC4943772_01
Her right fundus showed the first ruptured RAM at the superotemporal vascular arcade with subinternal limiting membrane and subretinal hemorrhages not involving the macula. During her first visit, her BP was 163/77 mm Hg with no medications. Her VA was 20/25.
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F1
Her right fundus showed a ruptured RAM at the superotemporal vascular arcade with subinternal limiting membrane and subretinal hemorrhages not involving the macula (fig. 1). Her blood pressure (BP) was 163/77 mm Hg, and she did not know that she had systemic hypertension.
The fluorescein angiography showed that the second ruptured RAM was located close to the arteriovenous crossing and BRVO existed at the distal site of the RAM. There was fluorescein leakage in the macula. Her VA had dropped to 20/60.
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F2
The second RAM at the proximal superotemporal vascular arcade developed and impending BRVO occurred with macular edema at the distal site of the RAM (fig. 2).
The third RAM ruptured (arrow) and her posterior pole showed massive pre- and subretinal hemorrhages. Her VA was 2/200 in her right eye. We performed fluorescein angiography 11 days after vitrectomy.
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F3
The source of bleeding was the rupture of the third RAM on a different artery (fig. 3).