Morphometric analysis of exudative retinal arterial macroaneurysms: a geometrical approach to exudate curves

We studied morphometrically the color transparencies and fluorescein angiograms of 5 patients with six exudative retinal arterial macroaneurysms. Our aim was to express the dependence of the exudate morphology upon the location of the macroaneurysm with an algebraic polynomial analysis. We derived the second-degree conical equations of the exudate curves and computed the location of their cardinal descriptive parameters. The relationship between the site of the macroaneurysms and the computed hypothetical parameters of their exudate curves revealed that the structural features of the exudates are dependent upon the distance of the macroaneurysm to the foveola, the gravitational force and the clearing capacity of the venous net. The point where the macroaneurysm develops approximately 3 mm from the center of the macula seems to be a 'crucial point'. Macroaneurysms located closer than this point may cause the exudates that occupy the fovea and create severe visual loss.