Case Report
 
Bilateral Leber's miliary aneurysm in a female black African

Ogugua Ndubuisi Okonkwo1, Adekunle Olubola Hassan1, Valentina Ideh2, Micheal Ekwuoba Gyasi3, Olufemi Oderinlo1
1Consultant Ophthalmic Surgeon, Eye Foundation Retina Institute, Eye Foundation Center for the Prevention of Blindness, Lagos, Nigeria
2Consultant Ophthalmic Surgeon, Department of Ophthalmology, Prime Optical Center, Benin, Nigeria
3Consultant Ophthalmic Surgeon, Department of Ophthalmology, St Thomas Eye Hospital, Accra, Ghana

Article ID: 100888Z01OO2018
doi: 10.5348/100888Z01OO2018CR

Corresponding Author:
Ogugua Ndubuiai Okonkwo,
Eye Foundation Retina Institute,
Eye Foundation Center for the Prevention of Blindness,
27 Isaac John Street, GRA. Ikeja, Lagos, Nigeria

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How to cite this article
Okonkwo ON, Hassan AO, Ideh V, Gyasi ME, Oderinlo O. Bilateral Leber's miliary aneurysm in a female black African. Int J Case Rep Images 2018;9:100888Z01OO2018.


ABSTRACT
Introduction: Leber's Miliary Aneurysm (LMA) is a primary telangiectasia of the retina blood vessels with characteristic exudation. It is an idiopathic disease, mostly unilateral and seen predominantly in males. This case report represents the first case of Leber's Miliary Aneurysm reported in a Nigerian and perhaps in sub-Saharan black Africa.
Case Report: A 26-year-old female presented with a bilateral retina disease characterized by multiple retinal vascular aneurysmal dilatations, telangiectasia of the retina blood vessels with right eye macular atrophy and retinal exudation in both the eyes. This resulted in severe loss of vision in the right eye and moderate loss of vision in the left eye. Retinal laser photocoagulation was used to treat the leaking aneurysms in the left eye.
Conclusion: This case demonstrates that a rare disease such as LMA can occur bilaterally in a female of African descent. Thus, eye specialists practicing in this region should be aware of this possibility.

Keywords: Aneurysm, Coats Disease, Retinal Exudation, Telangiectasia



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Author Contributions
Ogugua Ndubuisi Okonkwo – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Adekunle Olubola Hassan – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Valentina Ideh – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published Micheal Ekwuoba Gyasi – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Olufemi Oderinlo – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of Submission
The corresponding author is the guarantor of submission.
Source of Support
None
Consent Statement
Written informed consent was obtained from the patient for publication of this study.
Conflict of Interest
Author declares no conflict of interest.
Copyright
© 2018 Ogugua Ndubuisi Okonkwo et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.