Ruptured retinal artery macroaneurysm

• By PRATIK SHENOY, MBBS, DNB, FVRS
  ISHA NETRALAYA
  Co-author(s): Dr.Amit Nene, Dr.Pushpanjali Ramteke ,Dr. Smitesh Shah, Dr. Pratik Shenoy
• Uploaded on Sep 6, 2023.
• Last modified by Joshua Friedman on Sep 7, 2023.

Rating

Appears in

Miscellaneous

Condition/keywords

retinal arterial macroaneurysm, pars plana vitrectomy (PPV), vitreous hemorrhage, Optos, OCT

Photographer

Gaurav Kamble, Isha Netralaya

Imaging device

Fundus camera
Optos

Description

A 66-year-old female presented with a ruptured retinal artery macroaneurysm and a visual acuity of finger counting close to face. The multi layered hemorrhage receded on its own inferiorly with an improvement of visual acuity. However, the patient developed a breakthrough bleed with vitreous hemorrhage three weeks later with a drop in visual acuity to hand movements. She underwent pars plana vitrectomy for the same with an improvement in visual acuity to 6/9.

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