|A.||vitreous hemorrhage (VH)|
renal cell carcinoma
Answer: C) Renal cell carcinoma
Explanation: The image demonstrates a retinal arterial macroaneurysm. Macroaneurysms tend to occur in the elderly population and have been associated with systemic hypertension and atherosclerosis. Complications that may result include VH, macular edema, and exudates. Renal cell carcinomas may be found in up to 25% of patients with von Hippel–Lindau disease. These patients present with retinal hemangioblastomas rather than with macroaneurysms. Other systemic manifestations of this phakomatosis include pheochromocytomas, pancreatic and renal cysts, and hemangioblastomas of the CNS and visceral organs.