title: Ruptured retinal arterial macroaneurysm associated with a stage IV macular hole.
abstract: OBJECTIVE
  To report a case of stage IV macular hole associated with ruptured retinal arterial macroaneurysm.
  
  
  METHODS
  Observational case report.
  
  
  METHODS
  The patient's clinical, angiographic, and ophthalmic coherent tomography data were reviewed.
  
  
  RESULTS
  A stage IV macular hole was observed in association with a ruptured retinal arterial macroaneurysm in a 79-year-old patient. After vitrectomy surgery, the macular hole closed and vision improved from counting fingers to 20/100.
  
  
  CONCLUSIONS
  Macular hole associated with ruptured retinal macroaneurysm can be closed successfully to result in improved vision.
authors.affiliation: Department of Ophthalmology, Edward S. Harkness Eye Institute, New York Presbyterian Hospital, New York, New York 10021, USA. aciardella@yahoo.com
authors.forename: Antonio P
authors.initials: AP
authors.lastname: Ciardella
authors.forename: Gaetano
authors.initials: G
authors.lastname: Barile
authors.forename: William
authors.initials: W
authors.lastname: Schiff
authors.forename: Lucian
authors.initials: L
authors.lastname: Del Priore
authors.forename: Kevin
authors.initials: K
authors.lastname: Langton
authors.forename: Stanley
authors.initials: S
authors.lastname: Chang
mesh_terms: D000368:Aged; D000783:Aneurysm / Q000150:complications* / Q000175:diagnosis; D017542:Aneurysm, Ruptured / Q000150:complications* / Q000175:diagnosis; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D007368:Interferometry; D008027:Light; D012161:Retinal Artery / Q000473:pathology*; D012166:Retinal Hemorrhage / Q000175:diagnosis / Q000209:etiology; D012167:Retinal Perforations / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D012422:Rupture, Spontaneous; D014054:Tomography; D014792:Visual Acuity; D014821:Vitrectomy; D014823:Vitreous Hemorrhage / Q000175:diagnosis / Q000209:etiology