J Korean Ophthalmol Soc.  2000 Jan;41(1):119-126.

Natural Visual Outcome of Submacular Hemorrhage Associated with Retinal Arterial Macroaneurysm

• Ahn DG
• Kang SW

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.

Keyword

Retinal arterial macroaneurysm; Submacular hemorrhage; Visual outcome

MeSH Terms

Absorption
Female
Fingers
Hemorrhage*
Humans
Hypertension
Light Coagulation
Natural History
Retinaldehyde*
Retrospective Studies
Visual Acuity
Retinaldehyde