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Photo Essay
December 2000

Subretinal Hemorrhage From Retinal Arterial Macroaneurysm Simulating Malignancy

Arch Ophthalmol. 2000;118(12):1704. doi:10.1001/archopht.118.12.1704

A 73-YEAR-OLD woman had an 8-day history of a sudden, painless onset of hazy vision, and a scotoma in the inferior visual field of her right eye. Her medical history is remarkable for a cardiac bypass operation and a pneumonectomy for a lung carcinoma (classified as a lung carcinoma, with diaphragmatic invasion [T3], no lymph nodes involved [N0], and no metastasis [M0], or T3 N0 M0) 7 years ago. A pneumonectomy was performed at that time and the tumor was radically resected.

On examination, her Snellen visual acuity was 20/60 OD and 20/20 OS. The ocular media were clear and the intraocular pressures were normal. Fundus examination of the right eye revealed a large, round, brownish tumor with a superficial hemorrhage (Figure 1). The left fundus was normal.