This patient presented with very subtle retinal vascular telangiectasia in the temporal macula, some scattered temporal macular lipid, and moderate cystic retinal edema with trace subretinal fluid on OCT. There were also a few larger scattered deep retinal hemorrhages.
Fluorescein angiography shows much more dramatic intraretinal vascular abnormalities centered in the temporal macula with moderate leakage.
Learning Points:
We believe this patient has a retinal capillary hamartoma. This is an extremely rare finding; to the best of our knowledge, only been previously described in a strikingly similar case in the 5th edition of Gass’ classic atlas (Gass’ Atlas of Macular Diseases 5th Edition, Agarwal A, Elsevier 2011, pages 446-447).
