Blog - Ruptured Retinal Artery Macroaneurysm

A  42 year old healthy female patient with no systemic  risk factors came with sudden diminision of vision in left eye . Her vision in right eye was 6/6, left eye has counting fingers ½ metre .Her retinal examination showed left eye hemorrhage at various levels at macula (pre retinal, sub ilm, subretinal blood ) secondary to ruptured retinal artery microaneurysm. Systemic evaluation showed high blood pressure which was not diagnosed before . Anti hypertensives were started and she underwent left eye vitrectomy with ILM peeling surgery .  Post operatively her vision improved to 6/9.

Intraoperative pics showing hemorrhage at various levels and post removal of blood


Retinal arterial macroaneurysms are acquired, focal dilations of retinal arterial branches

Risk factors



Symptoms :

  • Asymptomatic
  • Decrease of vision
  • Metamorphopsia
  • Floaters
  • Acute loss of vision

Treatment :

  • Observation
  • Laser photocoagulation
  • Intravitreal Antivegf injections
  • Vitrectomy surgery

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