J Korean Ophthalmol Soc.  2007 Oct;48(10):1429-1432. 10.3341/jkos.2007.48.10.1429.

Full Thickness Macular Hole formation following Rupture of Retinal Arterial Macoraneur

• Kim JY
• Lee EK

• KMID: 2211000
• DOI: http://doi.org/10.3341/jkos.2007.48.10.1429

Abstract

PURPOSE: To report a case of a macular hole formation following rupture of retinal arterial macroaneurysm.
METHODS
A 75-year-old female visited our clinic with a chief complaint of decreased vision in her left eye. We completed full ocular examinations, including fluorescein angiography (FAG), and optical coherence tomography (OCT).
RESULTS
The best corrected visual acuity was 0.6 in the right eye and 0.04 in the left. Fundus examination showed a retinal arterial macroaneurysm in supratemporal artery of the left eye. Fluorescein angiography showed hyperfluorescence in the macroaneurysm site. The optical coherence tomography showed macular and submacular hemorrhage. We performed intravitreal gas injection to treat the submacular hemorrhage. One month after the intravitreal gas injection, a full-thickness macular hole developed.

Keyword

Macroaneurysm; Macular hole; Submacular hemorrhage

MeSH Terms

Aged
Arteries
Female
Fluorescein Angiography
Hemorrhage
Humans
Retinal Perforations*
Retinaldehyde*
Rupture*
Tomography, Optical Coherence
Visual Acuity
Retinaldehyde

Figure

• 

  Figure 1. Fundus photographs. (A) Normal fundus. (B) Subretinal hemorrhage (3-disc diameter area) involving the macular area and macroaneurysm of the yellowish fusiform dilatation lesion (arrow) within the hemorrhage in the superior temporal arcade.

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  Figure 2. (A) Fluorescein angiogram (24 seconds) revealed round small hyperfluorescence (arrow) along the superior temporal arteriole corresponding to the yellowish lesion in the fundus photogragh within the hypofluorescence area of subretinal hemorrhage. (B) Optical coherence tomography (OCT) showed retinal and subretinal hemorrhage, macular edema and epiretinal membrane.

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  Figure 3. (A) One week after intravitreal gas injection, subretinal hemorrhage decreased and yellowish deposit was found in the fovea. (B) One month after intravitreal C3F8 gas injection, submacular hemorrhage decreased but full thickness macular hole (arrow) developed.

• 

  Figure 4. Optical coherence tomography (OCT) showed full thickness macular hole with epiretinal membrane.

Reference

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