Ruptured Macroaneurysm

File number: 134240

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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
Photographer: César Adrián Gómez Valdivia
Imaging device: Optical coherence tomography system
Heidelberg E.
Description: Follow-up OCT B-scan after intravitreal aflibercept and pneumatic displacement demonstrating interval displacement and partial resolution of the intraretinal hemorrhage, with residual hyperreflective intraretinal hemorrhagic material and persistent posterior shadowing. Scattered hyperreflective dots are visible in the vitreous, consistent with residual associated subhyaloid/premacular hemorrhage. There is improved visualization of the foveal contour compared with the initial presentation. Findings are consistent with evolving hemorrhagic and exudative changes secondary to a ruptured retinal arterial macroaneurysm