EC Ophthalmology

We aim to report a ten-year-old male presenting with a trivial symptom of headache and photophobia. in turn, revealing to be bilateral congenital retinal macrovessels with bilateral optic disc oedema secondary to cerebral venous malformation. Pediatric and neurology opinion was taken, but it came out to be unremarkable. Unaided visual acuity on Snellen’s chart was 6/60 in the right eye, which did not improve on pinhole and refraction and 6/6 in the left eye. Fundus examination of the right eye revealed clear media with poorly defined disc margins at the superonasal and nasal borders, with gliosis noted at the superotemporal borders of the optic disc, and the left eye revealed blurred nasal disc margins with dilated and tortuous vascular arcades. In the macular region, there were aberrant dilated vessels reaching inside the foveal avascular zone but not crossing the horizontal raphe in both eyes. Neurology and paediatrics opinions ruled out any other comorbidity, and a diagnosis of congenital retinal macroaneurysm was made.

Keywords: Congenital Macroaneurysm; Disc Oedema

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