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Macroaneurysm on the optic disc in a patient with aortic dissection
Masayuki Takeyama1, Masayoshi Iwaki1, Masahiro Zako1
1Department of Ophthalmology, Aichi Medical University, Nagakute, Japan.
Case Reports in Ophthalmology
|December 19, 2013
Summary
This case report details a rare optic disc macroaneurysm in a patient with aortic dissection, presenting with vitreous hemorrhage. The macroaneurysm spontaneously resolved, highlighting a potential, though unclear, association with aortic disease.
Area of Science:
- Ophthalmology
- Cardiovascular Medicine
- Vascular Surgery
Background:
- Aortic dissection is a serious cardiovascular condition.
- Optic disc macroaneurysms are rare vascular lesions.
- Vitreous hemorrhage can cause visual disturbances.
Observation:
- A 60-year-old female with a history of aortic dissection presented with vitreous hemorrhage in her right eye.
- During vitrectomy, a large, actively bleeding macroaneurysm was identified on the optic disc.
- The macroaneurysm was not surgically treated.
Findings:
- The optic disc macroaneurysm spontaneously regressed over time.
- Associated bleeding and pulsation ceased without intervention.
- This represents the first reported case of optic disc macroaneurysm in a patient with aortic dissection.
Implications:
- The relationship between optic disc macroaneurysms and aortic dissection remains uncertain.
- Further case reports are needed to explore this potential association.
- This case expands the understanding of rare ocular manifestations in patients with aortic disease.
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