Retinal arterial macroaneurysm with blood-staining of the internal limiting membrane and optic nerve.
An 83-year-old man presented with a retinal arterial macroaneurysm complicated by vitreous hemorrhage, hyphema and ghost cell glaucoma requiring surgical intervention. After pars plana vitrectomy, anterior chamber wash-out and laser photocoagulation, the retinal arterial macroaneurysm closed but blood-staining of the optic nerve, internal limiting membrane and peripapillary vessels persisted. The rare sequela of blood-staining, which in this case did not adversely affect the final visual outcome, further contributes to our understanding of the wide ranging clinical spectrum of retinal arterial macroaneurysms.
Meyerle
Catherine B
CB
Department of Ophthalmology, Yale University Eye Center, Yale University School of Medicine, New Haven, CT 06520-8061, USA.
Shields
M Bruce
MB
Adelman
Ron A
RA
D000369:Aged, 80 and over; D000783:Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D019773:Epiretinal Membrane; D005654:Fundus Oculi; D005901:Glaucoma / Q000209:etiology; D006801:Humans; D006973:Hypertension / Q000150:complications; D006988:Hyphema / Q000209:etiology; D017075:Laser Coagulation; D008297:Male; D009900:Optic Nerve; D012161:Retinal Artery; D012166:Retinal Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D041623:Tomography, Optical Coherence; D014821:Vitrectomy; D014823:Vitreous Hemorrhage / Q000209:etiology