Visual prognosis for symptomatic retinal arterial macroaneurysm.
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.
Tonotsuka
Toshie
T
Department of Ophthalmology, Faculty of Medicine, University of Yamanashi, Yamanashi, Japan.
Imai
Masahito
M
Saito
Katsuya
K
Iijima
Hiroyuki
H
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