Retinal tear located beneath the detached internal limiting membrane associated with ruptured macroaneurysm.
BACKGROUND
Rupture of retinal arterial macroaneurysm has a variety of fundus features. We report a case of ruptured retinal arterial macroaneurysm appearing concomitantly with a retinal tear located beneath the detached internal limiting membrane (ILM) that was apparent during vitrectomy.


METHODS
Vitrectomy with ILM peeling was performed on a 50-year-old man for sub-ILM hemorrhage and subretinal hemorrhage caused by ruptured macroaneurysm.


RESULTS
After ILM peeling, a retinal tear was found within the detached ILM. The sub-retinal hemorrhage was aspirated from the retinal tear. The retina was finally reattached.


CONCLUSIONS
Extensive sub-ILM hemorrhage may cause retinal tear. Careful intraoperative examination and treatment are needed.
From the *Department of Ophthalmology, Saga University Faculty of Medicine, Saga, Japan; and the †Department of Ophthalmology and Visual Science, Kumamoto University Graduate School of Medical Sciences, Kumamoto, Japan.
Akira
A
Hirata
Naoko
N
Yonemura
Hidenobu
H
Tanihara