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Peripheral retinal angiomalike lesion and macular pucker
L Laatikainen1, I Immonen, P Summanen
1Department of Ophthalmology, University of Helsinski, Finland.
American Journal of Ophthalmology
|November 15, 1989
Summary
This study examined preretinal macular fibrosis (macular pucker) linked to peripheral retinal angioma-like lesions. Treatments stabilized macular pucker, but did not reverse membranes, though some visual acuity improved with specific interventions.
Area of Science:
- Ophthalmology
- Retinal Vascular Diseases
- Vitreoretinal Surgery
Background:
- Preretinal macular fibrosis, also known as macular pucker, can occur with peripheral retinal vascular lesions.
- Angioma-like lesions in the retina may be associated with systemic conditions like von Hippel-Lindau disease or be sporadic.
- Understanding the interplay between these conditions is crucial for effective patient management.
Observation:
- Clinical data from five eyes with macular pucker and associated solitary angioma-like lesions were analyzed.
- One case involved an angioma linked to von Hippel-Lindau disease; the others were sporadic.
- Vascular mass regression was achieved via transscleral cryopexy (four eyes) or argon laser (one eye).
Findings:
- Following treatment for the vascular lesions, macular pucker remained stable in all observed cases.
- Regression of the preretinal membrane was not observed post-treatment.
- Visual acuity improved in one eye after cryotherapy and in two eyes after vitrectomy with membrane removal.
Implications:
- Transscleral cryopexy and argon laser are effective for regressing retinal angioma-like lesions.
- While these treatments can stabilize macular pucker, they do not typically cause membrane regression.
- Surgical intervention, such as vitrectomy and membrane removal, may be necessary to improve visual acuity in select cases.