You are correct. The fundoscopic examination of this pt showed a macular hemorrhage involving 3 tissue layers (trilaminar), characteristic of a ruptured retinal artery macroaneurysm: preretinal (obscuring the ruptured macroaneurysm—A); intraretinal (feathery border appearance—B); and subretinal (beneath the fovea, w/ retinal vessels coursing over—C). Because she presented promptly, the hemorrhage was successfully displaced after intravitreal injection of tPA and sulfur hexafluoride gas, plus a short postop period of face-down head posturing. Retinal artery macroaneurysms classically occur in elderly women and are strongly associated w/ HTN.