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Multiple retinal capillary hemangiomas
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This photo of a patient who complained of gradual loss of peripheral vision in the right eye for the past 3 months was chosen as the winner of this month’s “Ocular Photography Challenge.” Bethanie Deemer, OD, of Peoira, Ariz., said the 28-year-old white male denied any flashes, floaters and eye pain.
The patient’s medical and ocular history was unremarkable. He did not recall ever having an eye examination. Entering visual acuity was OD 20/200 (eccentric viewing) and OS 20/20. He had a 4+ afferent pupillary defect in the right eye. Confrontations revealed an absolute superior visual field defect. The anterior segment was normal. His dilated fundus exam in the right eye is shown.
The patient was diagnosed with multiple retinal capillary hemangiomas. As it turns out, he had a history of pheochromocytoma and likely has von Hippel’s disease. He was referred to an oncologist to rule out any intracranial hemangiomas, abdominal tumors or renal cell carcinoma.
The photo was taken with a Cannon CR-5 10 Megapix with the Synemed software.
As this month’s winner, Dr. Deemer will receive an HA-2 Handheld Tonometer, provided by Kowa.
Submissions for the contest can be e-mailed to nhemphill@slackinc.com. They are judged anonymously by a panel of Primary Care Optometry News Editorial Board members.
Please provide a photo of at least 300 dpi, a 100-word description of the case including what imaging system was used and the name of your home town. Photos may not have been previously published. You will be asked to grant permission to SLACK Inc. to publish your photo.
Contestants are permitted to win once a year. Kowa provides the prizes, including one annual grand prize awarded to the winner chosen from among each round’s winners.
Delivery of prizes may take up to 120 days.