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Photo Essay
January 2000

Spontaneous Rupture of a Macroaneurysm Documented in Real Time During Fluorescein Angiography

Arch Ophthalmol. 2000;118(1):144-145. doi:10.1001/archopht.118.1.144

AN 80-YEAR-OLD white woman with a history of ischemic heart disease, hypertension, and hypercholesterolemia complained of decreased vision of the left eye and a gray spot centrally. On examination, visual acuity was 20/25 OD, 20/50 OS, and intraocular pressure was 18 mm Hg OU. Examination of the left eye while it was dilated revealed an intraretinal hemorrhage that appeared raised and that was associated with a central white region, consistent with an arterial macroaneurysm. Her ophthalmologist immediately referred her to our photographic service for a fluorescein angiogram of the left eye.