The picture and fluorescein angiography are taken from a patient complaining of distorted right vision.

a. What phase is the fluorescein angiography?

b. What is the diagnosis?

c. What underlying medical condition may be present in this patient?

a
Answer a
Venous phase.
 

Answer b
Macroaneurysm. The colour picture shows circinate exduates surrounding an area of haemorrhage. Fluorescein angiogram shows localized dilatation of the superior retinal artery corresponding to the areas of haemorrhage. The feature is that of macroaneurysm. 
 

Answer c
c. Hypertension. Macroaneurysm is commoner in female than males and most patients are hypertensive.