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Retinal Arterial Macroaneurysms: Updating your Memory on RAM Management
Brian Evan Goldhagen1,2, Raquel Goldhardt1,2
1Miami Veterans Administration Medical Center, 1201 NW 16th St, Miami, FL 33125.
Current Ophthalmology Reports
|December 13, 2019
Summary
Retinal arterial macroaneurysms (RAMs) typically require observation unless vision-threatening complications arise. Treatments for exudative or hemorrhagic RAMs include laser, VEGF inhibitors, and other procedures, though consensus is lacking.
Area of Science:
- Ophthalmology
- Retinal Vascular Diseases
- Medical Imaging
Background:
- Retinal arterial macroaneurysms (RAMs) are vascular dilations that can lead to vision-threatening complications.
- Management strategies vary depending on the presence of exudative or hemorrhagic events.
Purpose of the Study:
- To provide a comprehensive review of current management options for retinal arterial macroaneurysms.
- To discuss the role of new imaging technologies in understanding RAMs.
Main Methods:
- Review of existing literature on RAM management.
- Discussion of novel imaging techniques like optical coherence tomography angiography (OCT-A).
- Presentation of a case report detailing successful treatment of a hemorrhagic RAM.
Main Results:
- Optical coherence tomography angiography (OCT-A) aids in detecting RAMs and understanding blood flow.
- Observation is standard for asymptomatic RAMs not affecting the macula.
- Laser photocoagulation and anti-VEGF injections are used for exudative RAMs; various treatments exist for hemorrhagic RAMs.
Conclusions:
- No established consensus exists for managing symptomatic exudative or hemorrhagic RAM complications.
- Intravitreal bevacizumab demonstrated success in treating a case of hemorrhagic RAM.
Keywords:
VEGFbevacizumablasermacroaneurysmsphotocoagulationretinal artery macroaneurysmvascular endothelial growth factorMore Related Videos
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