Branch Retinal Vein Occlusion

A vitelliform lesion with a vascular clue

An 87-year-old woman is referred urgently with a working diagnosis of vitelliform macular dystrophy and dot and blot haemorrhages. OCT and careful fundus interpretation point instead to a single unifying diagnosis: an old superotemporal BRVO with secondary ERM and an acquired vitelliform lesion at the fovea.

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