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Photo Essay
August 2002

Spontaneous Regression of a Capillary Hemangioma of the Optic Disc

Arch Ophthalmol. 2002;120(8):1100-1101. doi:10.1001/archopht.120.8.1100

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.

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