Prepapillary Vascular Loops Complicated by Suspected Macroaneurysm Rupture
Joint Authors
Mitamura, Yoshinori
Katome, Takashi
Akaiwa, Kei
Semba, Kentaro
Egawa, Mariko
Naito, Takeshi
Source
Case Reports in Ophthalmological Medicine
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-09-22
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
We present a case of prepapillary vascular loops complicated by a suspected macroaneurysm rupture which was treated with intravitreal bevacizumab (IVB).
A 62-year-old woman presented with decreased vision and myodesopsia in her left eye.
Her best-corrected visual acuity (BCVA) was 0.6 in the left eye.
Fundus examination disclosed an elevated, round, and reddish lesion, retinal hemorrhage at the superior aspect of the optic disc, retinal opacification along the superior branch retinal artery, and a small vitreous hemorrhage.
Optical coherence tomography showed a serous retinal detachment, and indocyanine green angiography demonstrated prepapillary vascular loops and a hypofluorescent area with hyperfluorescent margins.
These findings suggested the presence of a macroaneurysm.
No filling of the dye in the aneurysm-like dilatation suggested a blockage of the lumen with a thrombus which might be associated with a branch retinal artery occlusion (BRAO).
A diagnosis of prepapillary vascular loops complicated by a suspected macroaneurysm rupture and BRAO was made.
Because of a persistent serous retinal detachment, IVB was performed.
One month later, the BCVA improved to 1.0.
Fundus examination disclosed an organized yellowish-white macroaneurysm and resolution of the serous retinal detachment.
We recommend careful monitoring of patients with prepapillary vascular loops because of complications such as macroaneurysm rupture and BRAO.
American Psychological Association (APA)
Akaiwa, Kei& Mitamura, Yoshinori& Katome, Takashi& Semba, Kentaro& Egawa, Mariko& Naito, Takeshi. 2014. Prepapillary Vascular Loops Complicated by Suspected Macroaneurysm Rupture. Case Reports in Ophthalmological Medicine،Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-1034863
Modern Language Association (MLA)
Akaiwa, Kei…[et al.]. Prepapillary Vascular Loops Complicated by Suspected Macroaneurysm Rupture. Case Reports in Ophthalmological Medicine No. 2014 (2014), pp.1-5.
https://search.emarefa.net/detail/BIM-1034863
American Medical Association (AMA)
Akaiwa, Kei& Mitamura, Yoshinori& Katome, Takashi& Semba, Kentaro& Egawa, Mariko& Naito, Takeshi. Prepapillary Vascular Loops Complicated by Suspected Macroaneurysm Rupture. Case Reports in Ophthalmological Medicine. 2014. Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-1034863
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1034863