Retinal arteriolar tortuosity (RAT) with macular hemorrhage is a well-recognized syndrome.1-3 The pathogenesis of the macular hemorrhage, which is usually spontaneous, is not clear. Mild ocular trauma has been implicated. We describe a patient with macular hemorrhage who also had a retinal detachment.
Report of a Case.
An otherwise healthy 31-year-old Saudi man presented with a 2-day history of sudden visual loss in his left eye. He denied any trauma. His past ocular and family history were unremarkable. His medical examination and laboratory results were normal.His best corrected visual acuity was 20/20 OD and 20/125 OS. There was no relative afferent pupillary defect; intraocular pressure and slit-lamp examination of the anterior segment was normal bilaterally.Fundus examination of the right eye was remarkable for extensive RAT. The venous tree was normal. The left eye showed similar RAT and a pear-shaped, 700-μm subinternal limiting membrane foveal hemorrhage that explained
Faisal ZK, Abboud EB. New Hemorrhages During Scleral Buckling in Inherited Retinal Arteriolar Tortuosity. Arch Ophthalmol. 1995;113(7):853-854. doi:10.1001/archopht.1995.01100070023014