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CASE REPORT
Year : 2021  |  Volume : 1  |  Issue : 4  |  Page : 739-741

Retinal racemose hemangioma and macroaneurysm with multilayered hemorrhage: A case report


Department of Retina, Susrut Eye Foundation and Research Centre, Kolkata, West Bengal, India

Correspondence Address:
Dr. Madhurima Roy
Fellow Vitreo Retina, Susrut Eye Foundation and Research Centre, Kolkata, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2496_20

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A 42-year-old female presented with sudden diminution of vision in the right eye (RE) for 1 day. The vision was counting fingers with Relative afferent pupillary defect (RAPD) (RE) and 20/20 (LE). Fundus revealed dilated tortuous arteries and veins in all quadrants with premacular and submacular hemorrhage. Fundus fluorescein angiography (FFA) showed nonleaking vascular loops with hypofluorescence at the macula. Optical coherence tomography (OCT) revealed localized posterior hyaloid detachment with hemorrhage. We report this unilateral case of retinal racemose hemangioma with multilayered hemorrhage managed with pneumatic displacement and revealed retinal artery macroaneurysm in the background. On follow-up there was development of localized vitreomacular traction. It was treated with Yttrium Aluminium Garnet (YAG) hyaloidotomy, which improved vision to 20/80.


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