Treatment of Retinal Arterial Macroaneurysm.
- Author:
Hyo Jin LEE
1
;
Mi Ran CHUNG
;
Hyung Chan KIM
Author Information
1. Department of Ophthalmology, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University, Korea. eyedrkim@edunet4u.net
- Publication Type:Original Article
- Keywords:
Intravitreal tPA injection;
Nd: YAG laser photodisruption;
Preretinal hemorrhage;
Retinal arterial macroaneurysm;
Submacular hemorrhage;
Vitrectomy
- MeSH:
Absorption;
Argon;
Edema;
Female;
Hemorrhage;
Humans;
Laser Therapy;
Lasers, Solid-State;
Light Coagulation;
Male;
Prognosis;
Retinaldehyde*;
Retrospective Studies;
Vitrectomy
- From:Journal of the Korean Ophthalmological Society
2003;44(10):2250-2258
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the visual prognosis of retinal arterial macroaneurysm with various treatment. METHODS: We did retrospective study in 16 patients(16 eyes) of retinal arterial macroaneurysm diagnosed at our hospital from March 1996 to January 2003. RESULTS: The range of patient's age was from 26 to 92 year-old, and 10 patients were female and 6 patients were male. In 6 eyes without treatment, spontaneous absorption of hemorrhage or edema occurred in 4 eyes. In 2 eyes with preretinal hemorrhage involving the macular area, vision was improved 2 lines or more as hemorrhage was subsided. Two eyes with Nd: YAG laser photodisruption obtained visual improvement of 4 lines or more. In 2 eyes misdiagnosed as CNV, argon laser photocoagulation was performed. In 6 eyes treated surgically with tPA injection or pars plana vitrectomy, 5 eyes showed visual improvement of 4 lines or more. CONCLUSIONS: Laser therapy or vitrectomy seems to be an effective method for the treatment of retinal arterial macroaneurysm involving the macular area.
