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Ophthalmic Images |

Macular Retinal Cavernous Hemangioma Associated With Congenital Retinal Macrovessel Online Only

Aristomenis Thanos, MD1; Sandeep Randhawa, MD1; Kimberly A. Drenser, MD, PhD1
[+] Author Affiliations
1Associated Retinal Consultants, William Beaumont Hospital, Royal Oak, Michigan
JAMA Ophthalmol. 2016;134(9):e161683. doi:10.1001/jamaophthalmol.2016.1683.
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This case report describes a man in his 20s with blurry vision in his right eye who had a macular lesian on fluorescein angiography.

A man in his 20s presented reporting blurry vision in his right eye. Visual acuity was 20/25 OD. Fluorescein angiography revealed a nonleaking macular lesion with late intermixed lobules of hyperfluorescence and hypofluoresence consistent with a retinal cavernous hemangioma (Figure).

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Ultra-wide-field fundus photograph (A) and fluorescein angiography (B) demonstrating a macular retinal cavernous hemangioma with the characteristic “cluster of grapes” appearance. Notice the retinal macrovessel originating from a branch of the superotemporal vein crossing the horizontal raphe.

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