Excision of retinal arterial macroaneurysm in two cases

Accession number;04A0155698
Title;Excision of retinal arterial macroaneurysm in two cases
Author; MEDORUMA KODO (Osaka Rosai Hosp.) EMI KAZUYUKI (Osaka Rosai Hosp.) TAKAOKA GEN (Osaka Rosai Hosp.) OYAGI TOMOHITO (Osaka Rosai Hosp.) IKEDA TOSHIHIDE (Osaka Rosai Hosp.) WATANABE MASAKI (Osaka Rosai Hosp.) SAKO TAKEHIRO (Osaka Rosai Hosp.)
Journal Title;Japanese Journal of Clinical Ophthalmology
Journal Code:Z0515B
ISSN:0370-5579
VOL.58;NO.2;PAGE.165-170(2004)
Figure&Table&Reference;FIG.2, REF.17
Pub. Country;Japan
Language;Japanese
Abstract;We successfully excised retinal arterial macroaneurysms by vitreous surgery in two cases. One was a 66-year-old male who had a giant macroaneurysm near the optic disc in his left eye. The visual acuity was 0.7 initially but decreased to 0.03 one week later after the macula was involved by subretinal hematoma. It improved to 0.5 following aspiration of subretinal hemorrhage. A second vitreous surgery had to be performed for tractional retinal detachment 5 weeks later. Proliferative membrane was excised followed by removal of macroaneurysm. The visual acuity improved to 0.8. The other was a 64-year-old male who had 3 macroaneurysms in his left eye. The visual acuity decreased from 1.5 to 0.2 after involvement of the macula by exudative retinal detachment. Vitreous surgery was performed 3 months after onset. The largest macroaneurysm was excised and the other two were treated by photocoagulation. The visual acuity improved to 1.2. These two cases illustrate that surgical removal of macroaneurysm may be one of beneficial methods to improve visual function. (author abst.)