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Retinal venous macroaneurysm associated with premacular hemorrhage
M Khairallah1, A Ladjimi, R Messaoud
1Department of Ophthalmology, CHU Fattouma Bourguiba, Monastir, Tunisia.
Ophthalmic Surgery and Lasers
|April 1, 1999
Summary
A rare case of premacular hemorrhage caused by a retinal venous macroaneurysm in a 50-year-old man was treated with argon green laser. This intervention successfully cleared the hemorrhage and improved vision.
Area of Science:
- Ophthalmology
- Retinal Vascular Diseases
Background:
- Retinal venous macroaneurysms are rare vascular conditions.
- Premacular hemorrhage can result from various retinal vascular issues.
Observation:
- A 50-year-old male presented with dense premacular hemorrhage in his left eye.
- Fluorescein angiography identified an isolated retinal venous macroaneurysm as the bleeding source.
Findings:
- Argon green laser treatment of the premacular hemorrhage led to rapid visual improvement.
- Attempts to occlude the macroaneurysm to prevent recurrence were unsuccessful, yet no re-bleeding occurred during follow-up.
Implications:
- Retinal venous macroaneurysms can present with premacular hemorrhage.
- Argon green laser photocoagulation may be a viable treatment for associated premacular hemorrhages.