Title: Leber's miliary Aneurysms : A rare form of Retinal Telangiectasia
Description: A 16 years old boy presented with gradual painless progressive diminution of vision in the right eye. The fundus evaluation revealed a dull foveal reflex with slightly elevated whitish-yellow intra-retinal exudates over the macular region (Image A). The vessels themselves were noted to be slightly dilated. Fundus fluorescien angiography was done which revealed both early and late diffuse leakage of the dye (Image B). Saccular and aneurysmal changes (Image C), grouped into small clusters, were observed in the retinal vessels in mid-peripheral area temporal to the fovea (yellow arrow). Capillary non-perfusion areas were observed, prominently noted around the course of the larger vessels in the affected areas (pink arrow).
A diagnosis of Leber’s miliary aneurysms was made after ruling out other causes of retinal telangiectasia. Macular edema was treated by intravitreal Anti-VEGF injections and leaking aneurysms were ablated using laser photocoagulation.
