망막대동맥류 파열과 함께 발생한 전층황반원공

• 영문명: Full Thickness Macular Hole Associated with Rupture of Retinal Arterial Macroaneurysm
• 발행기관: 대한검안학회
• 저자명: 이한민(Han Min Lee) 이성복(Sung Bok Lee) 김정열(Jung Yeul Kim) 조영준(Young Joon Jo)
• 간행물 정보: 『Annals of optometry and contact lens』Vol.14 No.2, 107~110쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2015.06.30

영문 초록

Purpose: To report a case of full thickness macular hole associated with rupture of retinal arterial macroaneurysm. Case summary: A 84-year-old female presented with 1-week history of decreased vision in the left eye. She had poorly controlled hypertension. On the initial examination, the best corrective visual acuity (BCVA) was 0.8 in the right eye and finger count 30 cm in the left eye. Both eyes had nucleoscleosis and cortical opacity. A fundus examination detected a sub-internal limiting membrane (ILM) premacular hemorrhage and small vitreous hemorrhage with a subretinal hemorrhage. Fluorescein angiography and indocyanine green angiography revealed a hot spot of retinal arterial macroaneurysm at superotemporal branch retinal artery. Hourglass patterned hemorrhage related with retinal arterial macroaneurysm was diagnosed. 23 gauge vitrectomy was performed to remove sub-ILM hemorrhage and if needed and possible, removal of subretinal hemorrhage was planned. After core vitrectomy, sub-ILM hemorrhage was confirmed, and partial ILM peeling was done. After removal of sub-ILM hemorrhage, full thickness macular hole was observed. More ILM was peeled, fluid gas exchange was done. Anatomic closure of the macular hole was achieved after the operation and was confirmed by optical coherence tomography examination. Two months after surgery, her vision had improved to 0.3. Conclusions: Macular hole which found during surgery was associated with rupture of retinal arterial macroaneurysm. A full-thickness macular hole occurred at the same time as retinal arterial macroaneurysm ruptured. Early surgery should be considered for retinal arterial macroaneurysm casuing all layers retinal hemorrhages need early surgery

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키워드

Macular hole Retinal arterial macroaneurysm