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Published on: June 14, 2021
Retinal tear located beneath the detached internal limiting membrane associated with ruptured macroaneurysm
Akira Hirata1, Naoko Yonemura, Hidenobu Tanihara
1From the *Department of Ophthalmology, Saga University Faculty of Medicine, Saga, Japan; and the †Department of Ophthalmology and Visual Science, Kumamoto University Graduate School of Medical Sciences, Kumamoto, Japan.
Background:
Rupture of retinal arterial macroaneurysm has a variety of fundus features. We report a case of ruptured retinal arterial macroaneurysm appearing concomitantly with a retinal tear located beneath the detached internal limiting membrane (ILM) that was apparent during vitrectomy.
Methods:
Vitrectomy with ILM peeling was performed on a 50-year-old man for sub-ILM hemorrhage and subretinal hemorrhage caused by ruptured macroaneurysm.
Results:
After ILM peeling, a retinal tear was found within the detached ILM. The sub-retinal hemorrhage was aspirated from the retinal tear. The retina was finally reattached.
Conclusions:
Extensive sub-ILM hemorrhage may cause retinal tear. Careful intraoperative examination and treatment are needed.
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