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Ophthalmic Images |

Familial Retinal Arteriolar Tortuosity Online Only

M. Ali Khan, MD1; Thomas R. Pheasant, MD2; Carol L. Shields, MD3
[+] Author Affiliations
1Retina Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania
2Pennsylvania Retinal Specialists, Camp Hill
3Oncology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania
JAMA Ophthalmol. 2016;134(3):e154133. doi:10.1001/jamaophthalmol.2015.4133.
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This Ophthalmic Image shows fundus photography and fluorescein angiography of familial retinal arteriolar tortuosity.

An asymptomatic woman in her mid-40s was referred for an opinion regarding unusual fundus findings. Visual acuity was 20/20 OU. Fundus examination revealed tortuosity of the small and medium arterioles in both eyes, primarily in the macular region, without evidence of vascular occlusion, venous stasis, or ischemia on fluorescein angiography (Figure). Examination of the patient’s family members revealed similar vascular tortuosity, leading to a diagnosis of familial retinal arteriolar tortuosity.

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Fundus photography (A) and fluorescein angiography (B) reveal tortuosity of the second- and third-order arterioles with an associated intraretinal hemorrhage (arrowhead) in the right eye. No evidence of vascular occlusion or ischemia was present.

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