A 33-YEAR-OLD woman was seen on February 8, 2001, with a 1-month history
of intermittent blurring of vision in the left eye. She had a long-standing
history of migraines.
An examination revealed visual acuity of 20/25 OD and 20/25 OS. Intraocular
pressure was 16 mm Hg by applanation tonometry, and her anterior segments
were unremarkable. Results of a funduscopic examination of the right eye were
normal. A funduscopic examination of the left eye showed a capillary hemangioma
involving the inferotemporal half of the optic disc with adjacent subretinal
fluid and exudation. A fluorescein angiogram demonstrated early hyperfluorescence
and late pooling of the dye with leakage from the optic nerve capillaries,
producing a secondary localized retinal detachment (Figure 1A, B, and C). The retina in the periphery was normal and
attached with no evidence of peripheral angiomas.
Milewski SA. Spontaneous Regression of a Capillary Hemangioma of the Optic Disc. Arch Ophthalmol. 2002;120(8):1100-1101. doi:10.1001/archopht.120.8.1100