OSLI Retina

June 2020

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366 Ophthalmic Surgery, Lasers & Imaging Retina | Healio.com/OSLIRetina The RAM appeared hyperfluorescent, whereas the sub- retinal hemorrhage blocked. There was no evidence of leakage on late images. Optical coherence tomography (OCT) (Figure 4) through the RAM revealed an inner ret- inal structure with a central lumen and hyperreflective border. Mild outer retinal exudation was also noted. Fo- vea was normal on OCT. Fundus examination of the left eye was normal. Genetic work-up was negative for von Hippel- Lindau disease. Treatment of the hemangioblastoma was offered, but the patient preferred observation. VA remained stable, and better systemic hypertension con- trol was recommended. [Ophthalmic Surg Lasers Imaging Retina. 2020;51:365-366.] Figure 3. Early phase fluorescein angiography shows hyperfluorescence of the retinal heman- gioblastoma and retinal arterial microaneurysm in the dilated feeding artery with blockage from the underlying hemorrhage. Figure 4. Optical coherence tomography at the level of the microaneurysm demonstrates the dilated vascular lumen with hyperreflective borders (white arrow), posterior shadowing, adjacent subretinal hemorrhage (asterisk), and outer retinal exudation (arrowhead).

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