Early-onset macular holes following ruptured retinal arterial macroaneurysms
Early-onset macular holes following ruptured retinal arterial macroaneurysms
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DOI：
10.1007/s00417-008-0930-4
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发表时间：
2008-12-01
影响因子：
2.7
通讯作者：
Ogura, Yuichiro
中科院分区：
文献类型：
--
作者：
Sato, Rina;Yasukawa, Tsutomu;Ogura, Yuichiro
报告3例视网膜动脉大动脉瘤破裂继发早发性黄斑裂孔。病例报告。患者被诊断为视网膜下出血并累及黄斑。两例在第一次眼底检查时证实了黄斑裂孔，第三例在玻璃体手术切除覆盖黄斑的内界膜下出血后证实了黄斑裂孔。所有病例可能在大动脉瘤破裂后立即并发黄斑裂孔。大动脉瘤距黄斑中心凹的距离小于或等于2250 μ m，所有病例均伴有黄斑裂孔周围的黄斑下出血和视网膜脱离。在病例2和3中，玻璃体切除术联合ILM剥离和SF6气体填充导致黄斑裂孔闭合;在病例1中，未进行玻璃体切除术，黄斑裂孔保持开放。独立的黄斑裂孔的解剖修复，最终的最佳矫正视力（VA）小于20/67在所有cases. Early发病黄斑裂孔形成继发于破裂的视网膜动脉大动脉瘤发生机械由于大动脉瘤和中心凹之间的接近。目前和以前的报告表明，任何VA改善可能是有限的，至少在老年患者中是如此。
To report three cases of early-onset macular hole secondary to a ruptured retinal arterial macroaneurysm.Case reports.The patients were diagnosed with a subretinal hemorrhage with macular involvement. A macular hole was confirmed during the first fundus examination in two cases, and after vitreous surgery to remove a sub-internal limiting membrane (ILM) hemorrhage overlying the macula in the third case. All cases were probably complicated with a macular hole immediately after the rupture of a macroaneurysm. The distance from the macroaneurysm to the fovea was 2250 mu m or less. All cases had a submacular hemorrhage and retinal detachment around the macular hole. In cases 2 and 3, vitrectomy with peeling of the ILM and SF6 gas tamponade led to closure of the macular hole; the macular hole remained open in case 1 without vitrectomy. Independent of anatomic repair of macular holes, the final best-corrected visual acuity (VA) was less than 20/67 in all cases.Early-onset macular hole formation secondary to a ruptured retinal arterial macroaneurysm occurs mechanically due to the proximity between the macroaneurysm and the fovea. Current and previous reports have suggested that any VA improvement was likely to be limited, at least in older patients.