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Rhegmatogenous retinal detachment after rupture of retinal arterial macroaneurysm
Asako Tashimo1, Yoshinori Mitamura, Nobuko Sekine
1Department of Ophthalmology, School of Medicine, Sapporo Medical University, Sapporo, Japan.
Purpose:
To report two cases of rhegmatogenous retinal detachment following rupture of retinal arterial macroaneurysm.
Design:
Observational case report.
Methods:
Review of clinical records of 75 consecutive eyes (73 patients) with macroaneurysm.
Results:
Ruptured macroaneurysm was present in 68 of the 75 eyes, and rhegmatogenous retinal detachment developed spontaneously in 2 (2.9%) of the 68 eyes. In the 2 eyes with retinal detachment, there were no predisposing lesions to retinal detachment and the detachment occurred either 2 weeks or 1 month after the rupture of a macroaneurysm. Retinal detachment and posterior vitreous detachment developed simultaneously after bleeding from the macroaneurysm spread into the vitreous in 1 eye.
Conclusions:
We report the occurrence of retinal detachment after macroaneurysmal rupture. Detailed fun-dus examination is required to detect retinal detachment in the follow-up of patients with ruptured macroaneurysm.