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Arterial macroaneurysm on the optic disk presenting as a mass lesion
Summary
A gray-yellow mass on the optic nerve head resolved, revealing a retinal arterial macroaneurysm. This case highlights the importance of considering macroaneurysms in optic nerve head tumor differentials.
Area of Science:
- Ophthalmology
- Medical Imaging
- Pathology
Background:
- Optic nerve head tumors can present with varied clinical signs.
- Retinal hemorrhages and arterial occlusions are common in ocular vascular diseases.
Observation:
- A 66-year-old male presented with a gray-yellow mass on the optic disk.
- The mass was associated with retinal hemorrhage and branch retinal artery obstruction.
Findings:
- Over several months, the yellow tissue resolved.
- A retinal arterial macroaneurysm was identified after the mass disappeared.
Implications:
- Retinal arterial macroaneurysms can mimic optic nerve head tumors.
- This case broadens the differential diagnosis for optic nerve head lesions.