He presented today with unaided acuities of right 6/9+ and left 6/12. Everything appeared as planned with normal intraocular pressures, clear corneas and a well centred intraocular lens. Dilated fundus examination however, revealed an intra-retinal and pre-retinal haemorrhage along the infero-temporal vascular arcade, consistent with a macroaneurysm. Thankfully his fovea and central macula is unaffected.

In this patient’s case, I will send him back to his GP for monitoring of his blood pressure, as hypertension is the most common risk factor here. Review is planned for 3 weeks’ time.