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Photo Essay
December 2002

Active Spontaneous Bleeding From Optic Disc Neovascularization During Fluorescein Angiography

Arch Ophthalmol. 2002;120(12):1766. doi:10.1001/archopht.120.12.1766

A 39-YEAR-OLD man sought treatment for decreased vision in both eyes of 2 months' duration. Visual acuity was 20/400 OU. Fundus examination showed optic disc swelling, diffuse hemorrhages, and macular edema (Figure 1). Workup revealed Philadelphia-chromosome–positive chronic myelogenous leukemia.

Fluorescein angiography demonstrated extensive areas of blockage and microaneurysms (Figure 2). Three minutes after the fluorescein injection, active bleeding from the optic disc neovascularization was noted (Figure 3).

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