Vitreous hemorrhage caused by ruptured retinal macroaneurysm.
OBJECTIVE
To report the clinical findings of 7 patients with a vitreous hemorrhage (VH) caused by a ruptured retinal macroaneurysm.


METHODS
Interventional case series. The medical records of 7 patients with a VH caused by a ruptured macroaneurysm and treated by either medication or vitrectomy were reviewed. The main outcome measures were the visual acuity, appearance of the fundus and optical coherence tomographic findings.


RESULTS
Two patients, aged 49 and 58 years, had retinal macroaneurysms at the optic disc. The retinal macroaneurysm in the other 5 eyes (mean age 79.0 years) was not at the optic disc. The VH was completely resolved in all 7 patients. The visual acuity improved in all eyes and remained stable for at least 6 months after the treatments (p = 0.0478).


CONCLUSIONS
The improvement of the visual acuity in all eyes indicates that the prognosis of eyes with a VH caused by a ruptured retinal macroaneurysm is good.
Department of Ophthalmology, Takarazuka Daiichi Hospital, Hyogo, Japan.
Kazunobu
K
Asao
Department of Ophthalmology, Takarazuka Daiichi Hospital, Hyogo, Japan.
Atsuko
A
Nakada
Department of Ophthalmology, Takarazuka Daiichi Hospital, Hyogo, Japan.
Yoshimi
Y
Kawasaki
Optic disc; Prognosis; Ruptured retinal macroaneurysm; Vitreous hemorrhage