J Korean Ophthalmol Soc.  2003 Oct;44(10):2250-2258.

Treatment of Retinal Arterial Macroaneurysm

• Lee HJ
• Chung MR
• Kim HC

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.

Keyword

Intravitreal tPA injection; Nd: YAG laser photodisruption; Preretinal hemorrhage; Retinal arterial macroaneurysm; Submacular hemorrhage; Vitrectomy

MeSH Terms

Absorption
Argon
Edema
Female
Hemorrhage
Humans
Laser Therapy
Lasers, Solid-State
Light Coagulation
Male
Prognosis
Retinaldehyde*
Retrospective Studies
Vitrectomy
Argon
Retinaldehyde