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Optic disc macroaneurysm in evolution: from incidental finding to branch retinal artery occlusion and spontaneous resolution
  1. R G Das-Bhaumik1,
  2. D Lindfield2,
  3. S M Quinn3,
  4. S J Charles3
  1. 1Moorfields Eye Hospital, London, UK
  2. 2Royal Eye Unit, Kingston-Upon-Thames, Surrey, UK
  3. 3Manchester Royal Eye Hospital, Manchester, Lancashire, UK
  1. Correspondence to Raja G Das-Bhaumik, Moorfields Eye Hospital, 162 City Road, London EC1V 2PD, UK; raj103{at}hotmail.com

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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.

Figure 1

(A) Photograph of optic disc macroaneurysm pre occlusion, (B) Photograph of (A), (C) Photograph showing spontaneous rupture of aneurysm involving proximal part of the superior branch of the central retinal artery with secondary closure of distal vasculature, (D) Photograph of (C), (E) Photograph of optic disc following spontaneous resolution of macroaneurysm, (F) Photograph of (E).

Nine months later, the visual …

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