title: Nonsurgical management of macular hemorrhage secondary to retinal artery macroaneurysms.
abstract: OBJECTIVE
  To report visual acuity outcomes of nonsurgical management of macular hemorrhage secondary to retinal artery macroaneurysms.
  
  
  METHODS
  Forty-one patients at multiple centers with macular hemorrhage secondary to retinal artery macroaneurysms managed with observation alone were reviewed. Time to clearance of macular hemorrhage, visual acuity at final follow-up, and presence or absence of macular pigmentary changes after absorption of the hemorrhage were recorded for each patient.
  
  
  RESULTS
  On initial examination, visual acuity was 20/200 or worse in all except 4 patients (3 with 20/70, 1 with 20/80). At an average follow-up of 15. 7 months, a final visual acuity of 20/40 or better was achieved in 15 eyes (37%), between 20/50 and 20/100 in 12 (29%), and 20/200 or worse in 14 (34%). Macular pigmentary abnormalities were noted after clearance of the hemorrhage in 23 (56%) of 41 cases, and these eyes generally had worse visual acuity outcomes.
  
  
  CONCLUSIONS
  In eyes with macular hemorrhage secondary to retinal artery macroaneurysms managed with observation alone, good visual acuity outcomes can often be achieved. Poorer visual acuity outcomes are associated with macular pigmentary changes after resorption of blood. Arch Ophthalmol. 2000;118:780-785
authors.affiliation: Bascom Palmer Eye Institute, 900 NW 17th St, Miami, FL 33136, USA. hflynn@med.miami.edu
authors.forename: C M
authors.initials: CM
authors.lastname: McCabe
authors.forename: H W
authors.initials: HW
authors.lastname: Flynn
authors.forename: W C
authors.initials: WC
authors.lastname: McLean
authors.forename: R D
authors.initials: RD
authors.lastname: Brod
authors.forename: H R
authors.initials: HR
authors.lastname: McDonald
authors.forename: M W
authors.initials: MW
authors.lastname: Johnson
authors.forename: G A
authors.initials: GA
authors.lastname: Williams
authors.forename: W F
authors.initials: WF
authors.lastname: Mieler
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000783:Aneurysm / Q000150:complications*; D005260:Female; D005500:Follow-Up Studies; D005654:Fundus Oculi; D006801:Humans; D008266:Macula Lutea / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D010857:Pigment Epithelium of Eye / Q000473:pathology; D012161:Retinal Artery / Q000473:pathology*; D012164:Retinal Diseases / Q000150:complications*; D012166:Retinal Hemorrhage / Q000209:etiology / Q000628:therapy*; D014792:Visual Acuity