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case_images: Colour fundus (CF) images of both eyes at the time of presentation: (a) CF of the right eye showing a glaucomatous disc and hazy media secondary to cataract and (b) CF of the left eye showing an optic disc with high cup:disc ratio of 0.8:1 and presence of preretinal and subretinal haemorrhage at the macula and inferior to the disc and presence of AV crossing changes, arteriolar attenuation, and cotton-wool spots.
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case_images: Multiple layered preretinal and subretinal blood was surrounding the optic disc and macula (Figure 1).
case_images: Fluorescein angiography (FA) images of the left eye at presentation: (a)-(c) FA images showing blocked fluorescence at the macula due to presence of preretinal and subretinal heme. Also seen is a light-bulb hyperfluorescent lesion deep at the centre of the ONH, suggestive of RAM lesion (blue arrow with blue outline).
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case_images: A small focus of light-bulb hyperfluorescent lesion at the centre of the ONH corresponding to the macroaneurysm was noted in the progressive phases of the FA (Figure 2).
case_images: Colour fundus image of the left eye 3 weeks post treatment with intraocular gas injection.
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case_images: LE BCVA improved to 6/18, N6. LE fundus examination showed resolving retinal and subretinal haemorrhage (Figure 3).
case_images: High-definition OCT images through the optic nerve head using the enhanced depth imaging (EDI) mode.. Scan identifies a large bulbous lesion located deep within the optic nerve heave head and communicating with the retinal vessel suggestive of retinal artery macroaneurysm lesion.
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case_images: RAM (Figure 4). RE BCVA was counting fingers at 3 m.
case_images: Red-free fundus photo of the left eye 2 months post treatment showing the altered residual subretinal blood adjacent to the fovea.
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case_images: His BCVA in the LE improved to 6/12, N8 (Figure 5).