Watermark: Christofer Macasieb, Naval Medical Center, San Diego
A 27-year-old Caucasian male was referred for progressive difficulty seeing out of his right eye. He was otherwise healthy with no significant past medical history. He was not currently on any medications. Visual acuity was 20/40 in the right eye and 20/25 in the left eye. Intraocular pressure was 13 mmHg in both eyes. His anterior segment exam was normal. Exam revealed a cluster of dilated capillaries along the inferotemporal arcade. Fluorescein angiography revealed slow filling of the capillary aneurysms with blocking in some aneurysms inferiorly corresponding to sedimentation of erythrocytes. The patient was diagnosed with retinal cavernous hemangioma. ___________________________
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