[Retinal arterial macroaneurysm complicated by premacular hemorrhage: treatment by YAG laser disruption].
BACKGROUND
Retinal arterial macroaneurysms are ectatic modifications of the arterial wall. They are a relatively uncommon condition that can threaten visual function by pre- or subretinal hemorrhage if rupture or massive macular exudation occurs.


METHODS
We report a case of a 59-year-old patient with arterial hypertension who presented an arterial macroaneurysm complicated by premacular hemorrhage. We performed Nd: YAG laser photodisruption, which resulted in drainage of preretinal blood, with complete hemorrhage regression and visual recovery.


CONCLUSIONS
Retinal macroaneurysms are acquired malformations, often isolated and located in a temporal artery. Their progression is unpredictable, evolving toward spontaneous occlusion, occurrence of chronic exudative retinopathy, or hemorrhagic complications by fissuration or rupture of the arterial wall. Through this observation, the authors discuss the value of YAG laser photodisruption for preretinal hemorrhage caused by retinal macroaneurysm.
Service d'ophtalmologie, centre hospitalier de Gonesse, 25, rue Pierre-de-Theilley, 95503 Gonesse, France. dahrmounir70@hotmail.fr
M
M
Dahreddine
H
H
Eldirani
E
E
Mutsinzi
A
A
Hirsch
D005451:Fluorescein Angiography; D005500:Follow-Up Studies; D006801:Humans; D053844:Lasers, Solid-State / Q000627:therapeutic use*; D008028:Light Coagulation; D008266:Macula Lutea; D008297:Male; D008875:Middle Aged; D012161:Retinal Artery / Q000601:surgery*; D012164:Retinal Diseases / Q000175:diagnosis / Q000601:surgery*; D012166:Retinal Hemorrhage / Q000175:diagnosis / Q000601:surgery*; D042262:Retinoscopy; D041623:Tomography, Optical Coherence; D014792:Visual Acuity