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Congenital Anomalous Retinal Artery Associated With a Leaking Macroaneurysm
Arch Ophthalmol. 2003;121:409-410.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Congenital anomalous retinal artery is a unilateral vascular anomaly with an excellent visual prognosis. Aberrant macular vessels are rare.1 Anomalous macular veins, although rare, are more common than anomalous macular arteries.2
Report of a Case
A 71-year-old man was referred to the retina service for "bleeding behind the right eye." His medical history was significant for ischemic heart disease, hypertension, and emphysema. He was using anitglaucoma medication. On examination, his best-corrected visual acuity was counting fingers at 4 m OD and 20/50 OS. Results of anterior segment evaluation were unremarkable, with normal intraocular pressure.
Ophthalmoscopy of the right eye revealed an aberrant artery that extended from the inferior temporal arcade (Figure 1), crossed the macula, and was associated with a macroaneurysm, subretinal hemorrhage, and macular edema. The posterior segment of the left eye was normal (Figure 1, insert).
Figure appears in full text version.
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Comment Corresponding author and reprints: K. V. Chalam, MD, Health Science Center/Jacksonville, Department of Ophthalmology, 580 W 8th St, Jacksonville, FL 32209.
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