Vitreous Hemorrhage as Presenting Sign of Retinal Arteriovenous Malformation
Joint Authors
Accou, Geraldine P. B. M.
Nerinckx, Fanny
Leroy, Bart P.
De Zaeytijd, Julie
Source
Case Reports in Ophthalmological Medicine
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-10-19
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Objective.
To describe a patient with vitreous hemorrhage and peripheral retinal ischemia, eventually diagnosed with an underlying retinal arteriovenous malformation.
Methods.
A 15-year-old girl presented with sudden-onset, painless visual loss in the right eye.
She underwent a full ophthalmological work-up.
Results.
BCVA was less than 20/400 in the right eye and 20/20 in the left eye.
Intraocular pressure and anterior segment examination were unremarkable.
Fundoscopy was impossible due to an opaque vitreous hemorrhage in the right eye.
The left eye was completely unremarkable.
Examination during a 23-gauge pars plana vitrectomy showed dilated, tortuous arteriovenous vessels extending from the optic disc and silver wiring of the enlarged vessels.
A clinical diagnosis of retinal arteriovenous malformation was made.
During surgery, a peripheral retinal photocoagulation was executed to avoid rebleeding.
Postoperatively, fluorescein angiography demonstrated additional macular microangiopathy and diffuse retinal nonperfusion in the periphery.
The MRI brain revealed neither cerebral nor orbital vascular anomaly, confirming a group 2 retinal arteriovenous malformation.
Conclusion.
Retinal arteriovenous malformations are generally considered stable over time.
However, complications due to retinal ischemia can occur.
Hence, regular observation is warranted.
In so doing, timely treatment can be offered to avoid complications.
American Psychological Association (APA)
Accou, Geraldine P. B. M.& Nerinckx, Fanny& Leroy, Bart P.& De Zaeytijd, Julie. 2020. Vitreous Hemorrhage as Presenting Sign of Retinal Arteriovenous Malformation. Case Reports in Ophthalmological Medicine،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1149705
Modern Language Association (MLA)
Accou, Geraldine P. B. M.…[et al.]. Vitreous Hemorrhage as Presenting Sign of Retinal Arteriovenous Malformation. Case Reports in Ophthalmological Medicine No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1149705
American Medical Association (AMA)
Accou, Geraldine P. B. M.& Nerinckx, Fanny& Leroy, Bart P.& De Zaeytijd, Julie. Vitreous Hemorrhage as Presenting Sign of Retinal Arteriovenous Malformation. Case Reports in Ophthalmological Medicine. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1149705
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1149705