Leber's miliary aneurysms
A 22-year-old male patient presented to the Ophthalmology clinic with a chief complaint of right eye floater. His past medical and ocular history were unremarkable. He gave no history of any systemic illness.\nOn examination, his visual acuity was 20/20 in the right eye (OD) and 20/25 in the left eye (OS). Intra ocular pressure was 19 and 13 mmHg. Anterior segment exam was normal in both eyes. Dilated fundus exam of the right eye was unremarkable. The left eye demonstrated a physiologic appearing optic nerve. However, the presence of multiple hard exudates in the inferior temporal retinal of the left eye was noticed. There were also multiple aneurysms in the temporal retina with vascular dilations, neovascularisation and very mild macular edema [].\nIntravenous fluorescein angiography showed early and late leakage as well as capillary dropout with late hypofluorescence in the temporal macula based on that picture we decided to treat him with laser photocoagulation although he was asymptomatic [].\nOptical coherence tomography (OCT) showed mild retinal thickening in the inferior macular region.\nThe patient was instructed to regularly follow up and to return to the clinic if he noticed any changes.