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[Decompensation of a cirsoid aneurysm: a case report]
G Pitault1, W M Haddad, G Soubrane
1Clinique Ophtalmologique Universitaire de Créteil, Hôpital intercommunal, Paris. Pitault-bat@libertysurf.fr
Journal Francais D'Ophtalmologie
|June 24, 2003
Summary
A rare case of congenital arteriovenous communication of the retina, or cirsoid aneurysm, presented with serous retinal detachment. Despite initial recovery, recurrent exudation occurred over five years, highlighting unusual clinical features.
Area of Science:
- Ophthalmology
- Vascular Surgery
Background:
- Cirsoid aneurysm, a rare congenital arteriovenous malformation of the retina, presents unique diagnostic and management challenges.
- Understanding the classification and clinical progression of retinal arteriovenous communications is crucial for effective patient care.
Observation:
- A 27-year-old woman presented with a stage I cirsoid aneurysm, manifesting as serous retinal detachment.
- Initial treatment led to resolution of exudation and visual recovery, but recurrence was noted over a five-year follow-up period.
Findings:
- Recurrent exudation in type I cirsoid aneurysms is an uncommon clinical presentation.
- The case underscores the variability in the natural history of retinal arteriovenous communications.
Implications:
- This case highlights the importance of long-term monitoring for patients with cirsoid aneurysms, even those classified as early stage.
- Further research into the pathogenic mechanisms underlying recurrent exudation in these rare vascular anomalies is warranted.