Ruptured Macroaneurysm

File number: 134239

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By César Adrián Gómez Valdivia, MD
Fundación Hospital Nuestra Señora de la Luz, I.A.P.
Co-author(s): Dr. Mauricio Bayram-Suverza
Uploaded on May 7, 2026.
Last modified by Joshua Friedman on May 8, 2026.

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Appears in: Ruptured Macroaneurysm
Condition/keywords: Ruptured Macroaneurysm OCT
Photographer: César Adrián Gómez Valdivia
Imaging device: Optical coherence tomography system
Heidelberg E.
Description: Initial OCT B-scan demonstrating a large hyperreflective intraretinal hemorrhage with marked posterior shadowing, causing distortion and partial obscuration of the underlying macular architecture. Adjacent intraretinal hyperreflective deposits/exudation and retinal thickening are present. Hyperreflective dots are also visible in the vitreous, consistent with associated subhyaloid/premacular hemorrhage. Findings are consistent with acute hemorrhagic and exudative changes secondary to a ruptured retinal arterial macroaneurysm.