| Clinical Characteristics of Retinal Arterial Macroaneurysms. |
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Chang Han Lee, Je Moon Woo, Man Seong Seo |
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Research Institute for Medical Sciences, Department of Ophthalmology, Chonnam National University Medical School, Kwangju, Korea. msseo@chonnam.ac.kr |
| 망막동맥대혈관류의 임상양상 |
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이창한 ( Chang Han Lee ) , 우제문 ( Je Moon Woo ) , 서만성 ( Man Seong Seo ) |
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| Abstract |
PURPOSE
To determine the clinical features of retinal arterial macroaneurysm (RAM). METHODS: Clinical characteristics of RAM, and its managements and results were evaluated. RESULTS: Of a total of 17 patients (17 eyes), 11 patients were women and 12 were over seventh decade. Mean follow-up period was 9.2 months. Hypertension was associated in 6 patients. Single aneurysm was temporally located in 15 eyes, which was along the temporal vascular arcade. It was on the arteriovenous crossing site in 8 eyes and followed retinal branch vein occlusion in 4 eyes. Aneurysms were located nasally in 2 eyes. Type was hemorrhagic in 15 eyes and exudative in 2 eyes. Pars plana vitrectomy was performed in 5 eyes and intraocular gas was injected in 2 eyes. Photocoagulation was performed directly in 2 eyes and indirectly in 3 eyes. Five eyes received no special managements. Visual acuity was less than 0.1 in 11 eyes and 0.3 or better in 4 on the initial visit, and less than 0.1 in 1 eyes and 0.3 or better in 10 on the final visit. Twelve eyes showed visual improvement of 2 lines or more. CONCLUSIONS: RAM usually develops along the temporal vascular arcade and induces visual disturbance due to hemorrhage and exudate. However, visual prognosis is relatively good. |
| Key Words:
Exudate;Hemorrhage;Retinal arterial macroaneurysm |
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