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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.
(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 …
Footnotes
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.