Management of macular puckers associated with retinal angiomas.
Monocular visual loss in four patients was caused by epiretinal macular membranes associated with peripheral retinal capillary angiomas or angioma-like lesions. Three patients had solitary vascular lesions and one had two discrete vascular lesions. All patients were in good health, with no evidence of the von Hippel-Lindau syndrome. In three patients, spontaneous peeling of the macular membranes and visual improvement occurred 2 to 6 months after obliteration of the angioma-like lesions with cryotherapy (two patients), or cryotherapy combined with argon laser (one patient). The fourth patient underwent a vitrectomy 8 months after the macular pucker had failed to respond to treatment of the vascular lesion.
Schwartz
P L
PL
Department of Ophthalmology, North Shore University Hospital, Manhasset, NY.
Fastenberg
D M
DM
Shakin
J L
JL
D000293:Adolescent; D000328:Adult; D003452:Cryosurgery; D005260:Female; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006391:Hemangioma / Q000150:complications / Q000601:surgery*; D006801:Humans; D008028:Light Coagulation; D008266:Macula Lutea / Q000601:surgery*; D008297:Male; D011379:Prognosis; D012164:Retinal Diseases / Q000150:complications / Q000601:surgery*; D012171:Retinal Vessels / Q000601:surgery; D014792:Visual Acuity; D014821:Vitrectomy