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An asymptomatic 56-year-old Caucasian woman was referred when her optometrist noted an area of “hyperaemia” in the centre of her right optic disc at a routine visit. On presentation, her visual acuities were 6/9 in each eye, with normal intraocular pressures. Fundoscopy revealed a right optic disc macroaneurysm (figure 1A,B). Systemic enquiry did not reveal any risk factors.
Nine months later, the visual …