Vortex-pattern Exudative Retinal Detachment

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File number: 132839

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    • By CUI YUELING
      Co-author(s): Tan wei?Hua hengyan?Song zhaoxi?Fulili?Wang tao
    • Uploaded on Feb 22, 2025.
    • Last modified by CUI YUELING on Feb 28, 2025.
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    Appears in
    Miscellaneous
    Condition/keywords
    exudative retinal detachment, choroidal hemangioma
    Photographer
    Cui yueling The First People's Hospital of Zunyi, Guizhou, Zunyi, China
    Imaging device
    Scanning laser ophthalmoscope
    Zeiss Clarus 500
    Description
    Patient: Male, 40 years old. Chief Complaint: Blurred vision and metamorphopsia in the left eye for more than 10 days. Past Medical History Hypertension for 4 years, with a highest recorded blood pressure of 160/80 mmHg. Currently controlled with oral "Nifedipine Sustained-Release Tablets, 2 tablets daily." Long-term history of heavy alcohol consumption and smoking. Ophthalmic Examination: Visual Acuity: Right eye (OD): 0.4 (uncorrected, no improvement with correction). Left eye (OS): 0.5 (-1.5DS = 1.0). Intraocular Pressure (IOP): OD: 15 mmHg. OS: 17 mmHg. Anterior Segment:Unremarkable. Fundus Examination: Right eye: Optic disc margins are clear, with a slightly reddish hue. Cup-to-disc ratio (C/D) = 0.2. A scalloped, orange-red elevated lesion is observed superior to the optic disc, with anterior displacement of the focal point. This is accompanied by a secondary, turbine-like exudative retinal detachment centered around the optic disc, involving the macula. The macular region shows scattered punctate yellow-white exudates. Diagnosis: Choroidal hemangioma with secondary exudative retinal detachment(OD).

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