Natural Visual Outcome of Submacular Hemorrhage Associated with Retinal Arterial Macroaneurysm. |
Dong Gyun Ahn, Se Woong Kang |
Department of Ophthalmology, College of Medicine, Chungbuk National University. |
망막동맥대혈관류에 동반된 황반하출혈의 자연력 |
안동균(Dong Gyun Ahn),강세웅(Se Woong Kang) |
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Abstract |
The authors retrospectively analysed epidemiologic characteristics, natural history and visual prognostic factors of submacular hemorrhage 2ndary to retinal arterial macroaneurysm in consecutive 10 patients. All the patients were female with mean age of 64.8 years and with hypertension in most cases.Typically, preretinal hemorrhage over submacular hemorrhage was the usual initial presentation.It took an average 2.9 months for the absorption of submacular hemorrhage.Average visual acuity was counting finger on initial visit and 0.3 on final visit. The initial visual acuity, the extent of submacular hemorrhage and the duration required for the absorption of it were statistically correlated with the final visual acuity[p<0.05]. But it was not the case with the extent of preretinal hemorrhage and the laser photocoagulation to macroaneurysm. As a conclusion, conservative treatment should be considered for the patient with tolerable initial visual acuity and with small extent of submacular hemorrhage 2ndary to retinal arterial macroaneurysm. |
Key Words:
Retinal arterial macroaneurysm;Submacular hemorrhage;Visual outcome |