Macular hole formation following ruptured retinal arterial macroaneurysm
| Autor: | Utako Okushiba, Asako Tashimo, Kenji Ohtsuka, Yoshinori Mitamura, Hiroko Imaizumi, Muneyasu Takeda |
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| Rok vydání: | 2003 |
| Předmět: |
Indocyanine Green
Male medicine.medical_specialty genetic structures Retinal Artery Eye disease Aneurysm Ruptured chemistry.chemical_compound Retinal Diseases Ophthalmology medicine Humans Fluorescein Angiography Macular hole Aged Retrospective Studies Aged 80 and over Retina Rupture Spontaneous medicine.diagnostic_test business.industry Vascular disease Retinal Hemorrhage Retinal Middle Aged Retinal Perforations medicine.disease Fluorescein angiography eye diseases Surgery medicine.anatomical_structure chemistry Case-Control Studies Maculopathy Female sense organs business Retinopathy |
| Zdroj: | American Journal of Ophthalmology. 135:487-492 |
| ISSN: | 0002-9394 |
| DOI: | 10.1016/s0002-9394(02)02084-6 |
| Popis: | Purpose To report four cases of macular hole formation following ruptured retinal arterial macroaneurysm. Design Case-control study. Methods Review of clinical records of 75 consecutive eyes (73 patients) with macroaneurysm. Macroaneurysms were confirmed using either fluorescein angiography or indocyanine green angiography or both that indicated a telangiectatic retinal vascular change. Clinical data of patients with macroaneurysm with and without macular hole (MH) formation were compared retrospectively. Results Of 75 eyes, four (5.3%; four patients) with macroaneurysm had a macular hole. In one of the four eyes, a macular hole was detected 2 days after the rupture. The distance from the macroaneurysm to the center of the fovea was significantly closer in the four eyes with a macular hole (MH group, 1.1 ± 0.4 (mean ± standard deviation [SD]) disk diameter) than in the 71 eyes without a macular hole (non-MH group, 1.9 ± 0.9 disk diameter) ( P = .0196). The incidence of subretinal hemorrhage in the macula was significantly greater in the MH group (100%) than in the non-MH group (35.2%) ( P = .0195). Conclusions Macular hole formation associated with ruptured macroaneurysm is not as uncommon as previously thought. We suggest that there might be early onset of macular hole formation following ruptured macroaneurysm. Macroaneurysms with early-onset macular hole are present near the center of the macula and are accompanied by subretinal hemorrhage in the macula. |
| Databáze: | OpenAIRE |
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