title: Visual prognosis for symptomatic retinal arterial macroaneurysm.
abstract: OBJECTIVE
  To study the visual prognosis in eyes with symptomatic retinal arterial macroaneurysm (RAM).
  
  
  METHODS
  Medical records were retrospectively reviewed for 62 patients (65 eyes) with symptomatic RAM.
  
  
  RESULTS
  The median visual acuity at presentation was 0.4 for eyes with vitreous hemorrhage (n=6), 0.01 for eyes with premacular hemorrhage (n=9), 0.1 for eyes with submacular hemorrhage without premacular hemorrhage (n=16), 0.02 for eyes with submacular hemorrhage with premacular hemorrhage (n=16), and 0.3 for eyes with macular edema (n=18). The median value of the final visual acuity was 0.6 for vitreous hemorrhage, 0.7 for premacular hemorrhage, 0.1 for submacular hemorrhage without premacular hemorrhage, 0.1 for submacular hemorrhage with premacular hemorrhage, and 0.5 for macular edema.
  
  
  CONCLUSIONS
  The visual prognosis for eyes with symptomatic RAM depends on the macular pathology. Eyes with vitreous hemorrhage or premacular hemorrhage recover good vision, while the vision in those with submacular hemorrhage with or without premacular hemorrhage generally remains poor. New interventions including submacular surgery or pneumatic displacement of submacular hematoma should be evaluated in a future study in terms of visual prognosis for these eyes.
authors.affiliation: Department of Ophthalmology, Faculty of Medicine, University of Yamanashi, Yamanashi, Japan.
authors.forename: Toshie
authors.initials: T
authors.lastname: Tonotsuka
authors.forename: Masahito
authors.initials: M
authors.lastname: Imai
authors.forename: Katsuya
authors.initials: K
authors.lastname: Saito
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Iijima
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000783:Aneurysm / Q000150:complications / Q000503:physiopathology* / Q000601:surgery*; D004487:Edema / Q000209:etiology; D005260:Female; D006801:Humans; D017075:Laser Coagulation; D008266:Macula Lutea; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012161:Retinal Artery; D012164:Retinal Diseases / Q000209:etiology; D012166:Retinal Hemorrhage / Q000209:etiology; D014792:Visual Acuity; D014823:Vitreous Hemorrhage / Q000209:etiology