Peripapillary Subretinal Neovascular Membrane

This 56 year old woman complained of seeing a colored spot in the temporal visual field of the right eye. A nasal peripapillary hemorrhage was present (black arrow). She had some fine drusen (blue arrow) best seen on red free photographs. A suspicion of peripapillary subretinal neovascularization led to obtaining a fluorescein angiogram, but no late hyperfluorescence was seen to suggest that subretinal neovascularization was present. Note that fine drusen do not show up in the fluorescein angiogram (red arrow). Observation was recommended and the hemorrhage and symptoms resolved without sequelae.