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Choroidal vascular aneurysm with massive choroidal hemorrhage.
S P Dhir1, A T Elgalhud, M N Shishku
1Department of Ophthalmology Al-Fateh University, Tripoli, Libya.
Annals of Ophthalmology
|May 1, 1992
Summary
A rare choroidal vascular aneurysm caused blindness from recurrent hemorrhage. Fluorescein angiography is crucial for diagnosing these aneurysms, which may otherwise be missed.
Area of Science:
- Ophthalmology
- Vascular Medicine
Background:
- Choroidal vascular aneurysms are rare vascular malformations.
- Spontaneous choroidal and vitreous hemorrhages can have various causes.
Observation:
- A case report details a 40-year-old woman with a choroidal vascular aneurysm originating from the short posterior ciliary artery.
- The aneurysm was identified using fluorescein angiography.
- Recurrent choroidal hemorrhages led to blindness.
Findings:
- Fluorescein angiography was essential for diagnosing the choroidal vascular aneurysm.
- Without this diagnostic tool, the aneurysm could have been overlooked.
- The aneurysm was the direct cause of the patient's vision loss.
Implications:
- Clinicians should consider choroidal vascular aneurysms in patients with unexplained choroidal or vitreous hemorrhages.
- Fluorescein angiography is recommended for clinical diagnosis.
- Histopathological examination is advised in cases of eyeball enucleation to identify such vascular anomalies.