Mechrgui Monia
Ophthalmology, Primary Health Care Corporation, Doha, QAT.
Cureus. 2022 Apr 7;14(4):e23903. doi: 10.7759/cureus.23903. eCollection 2022 Apr.
Retinal arterial macroaneurysms represent an acquired vascular irregularity that is primarily observed in the elderly population. The high variability surrounding the clinical presentation of this condition makes the initial diagnosis challenging. Employing several diagnostic techniques including fundus fluorescence angiography, optical coherence tomography, and optical coherence tomography angiography ensures that any hemorrhages secondary to macroaneurysms rupture are identified promptly. This is crucial for appropriately managing the case and ensuring a good prognosis. Here, we present a case of a multilayered hemorrhage secondary to a ruptured retinal arterial macroaneurysm managed with a pars plana vitrectomy with gas tamponade and we aim to highlight the recent advancements in diagnosis and management of this condition.
视网膜动脉大动脉瘤是一种后天性血管异常，主要见于老年人群。这种疾病临床表现的高度变异性使得早期诊断具有挑战性。采用多种诊断技术，包括眼底荧光血管造影、光学相干断层扫描和光学相干断层扫描血管造影，可确保及时发现大动脉瘤破裂继发的任何出血。这对于妥善处理病例并确保良好预后至关重要。在此，我们报告一例视网膜动脉大动脉瘤破裂继发多层出血的病例，该病例采用玻璃体切除术联合气体填充治疗，旨在强调该疾病在诊断和治疗方面的最新进展。
