Full Thickness Macular Hole formation following Rupture of Retinal Arterial Macoraneur

Jung Yeul Kim; Eun Kyoung Lee

doi:10.3341/jkos.2007.48.10.1429

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Kim and Lee: Full Thickness Macular Hole formation following Rupture of Retinal Arterial Macoraneur

Original Article

J Korean Ophthalmol Soc 2007;48(10):1429-1432.

Published online: 30 August 2007

DOI: https://doi.org/10.3341/jkos.2007.48.10.1429

Full Thickness Macular Hole formation following Rupture of Retinal Arterial Macoraneur

Jung Yeul Kim, M.D.^1,², Eun Kyoung Lee, M.D.¹

¹Department of Ophthalmology, College of Medicine, Chungnam National University, Daejeon, Korea

²Chungnam National University Research Institute for Medical Sciences, Daejeon, Korea

Address reprint requests to Jung Yeul Kim, M.D., Department of Ophthalmology, Chungnam National University Hospital, #640 Daesa-dong, Jung-gu, Daejeon 301-721, Korea, Tel: 82-42-280-8433, Fax: 82-42-255-3745, E-mail: kimjy@cnu.ac.kr

Received 4 January 2007 Accepted 27 June 2007

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To report a case of a macular hole formation following rupture of retinal arterial macroaneurysm.

Methods

A 75-year-old female visited our clinic with a chief complaint of decreased vision in her left eye. We completed full ocular examinations, including fluorescein angiography (FAG), and optical coherence tomography (OCT).

Results

The best corrected visual acuity was 0.6 in the right eye and 0.04 in the left. Fundus examination showed a retinal arterial macroaneurysm in supratemporal artery of the left eye. Fluorescein angiography showed hyperfluorescence in the macroaneurysm site. The optical coherence tomography showed macular and submacular hemorrhage. We performed intravitreal gas injection to treat the submacular hemorrhage. One month after the intravitreal gas injection, a full-thickness macular hole developed.

Keywords: Macroaneurysm, Macular hole, Submacular hemorrhage

References

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Figure 1.

Fundus photographs. (A) Normal fundus. (B) Subretinal hemorrhage (3-disc diameter area) involving the macular area and macroaneurysm of the yellowish fusiform dilatation lesion (arrow) within the hemorrhage in the superior temporal arcade.

Figure 2.

(A) Fluorescein angiogram (24 seconds) revealed round small hyperfluorescence (arrow) along the superior temporal arteriole corresponding to the yellowish lesion in the fundus photogragh within the hypofluorescence area of subretinal hemorrhage. (B) Optical coherence tomography (OCT) showed retinal and subretinal hemorrhage, macular edema and epiretinal membrane.

Figure 3.

(A) One week after intravitreal gas injection, subretinal hemorrhage decreased and yellowish deposit was found in the fovea. (B) One month after intravitreal C3F8 gas injection, submacular hemorrhage decreased but full thickness macular hole (arrow) developed.

Figure 4.

Optical coherence tomography (OCT) showed full thickness macular hole with epiretinal membrane.

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