Rhegmatogenous retinal detachment after rupture of retinal arterial macroaneurysm.

Tashimo, Asako; Mitamura, Yoshinori; Sekine, Nobuko; Takeda, Muneyasu; Ohtsuka, Kenji · Am J Ophthalmol · 2003

case_report · Level V

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Abstract

To report two cases of rhegmatogenous retinal detachment following rupture of retinal arterial macroaneurysm. Observational case report. Review of clinical records of 75 consecutive eyes (73 patients) with macroaneurysm. Ruptured macroaneurysm was present in 68 of the 75 eyes, and rhegmatogenous retinal detachment developed spontaneously in 2 (2.9%) of the 68 eyes. In the 2 eyes with retinal detachment, there were no predisposing lesions to retinal detachment and the detachment occurred either 2 weeks or 1 month after the rupture of a macroaneurysm. Retinal detachment and posterior vitreous detachment developed simultaneously after bleeding from the macroaneurysm spread into the vitreous in 1 eye. We report the occurrence of retinal detachment after macroaneurysmal rupture. Detailed fun-dus examination is required to detect retinal detachment in the follow-up of patients with ruptured macroaneurysm.

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