Early-onset macular holes following ruptured retinal arterial macroaneurysms

Sato, Ryo; Yasukawa, Tsutomu; Hirano, Yoshio; Ogura, Yuichiro

doi:10.1007/s00417-008-0930-4

Cited by 16 publications

(11 citation statements)

References 12 publications

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“…Several macular pathologies have been reported that may develop secondary MH such as cystoid macular edema, subretinal fluid due to rhegmatogenous retinal detachment, and SMH [2][3][4][5][6][7][8][9][10]. In most of the secondary MH associated with SMH, the SMH was caused by rupture of a retinal arterial macroaneurysm (RAM) [17][18][19]. There are several reports of secondary MH associated with choroidal neovascularization, but they developed after absorption of submacular fluid, not SMH [5][6][7].…”

Section: Discussionmentioning

confidence: 99%

“…In a case of SMH due to RAM, it was considered that secondary MH was caused by rapid increase in intraretinal pressure (early onset) or by retinal degeneration (late onset) [18]. Sagara et al reported that the presence of subretinal and sub-internal limiting membrane (ILM) hemorrhages after rupture of a RAM might contribute to formation of an MH [17].…”

Section: Discussionmentioning

confidence: 99%

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Development and spontaneous closure of a secondary macular hole associated with submacular hemorrhage due to polypoidal choroidal vasculopathy: a case report

et al. 2020

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Background: Macular hole (MH) is a retinal break in the fovea involving partial or complete dehiscence of the neural retinal layers affecting the visual quality by decreasing visual acuity (VA) and visual deformation. We describe a case of secondary MH associated with submacular hemorrhage (SMH) due to polypoidal choroidal vasculopathy (PCV), which showed spontaneous closure. Case presentation: A 67-year-old man developed decreased VA in his right eye due to an SMH. The VA was 20/50, and monthly intravitreal injection of aflibercept was administered three times. The SMH gradually decreased, and 10 months later the external limiting membrane was found to be perforated, resulting in MH. The old clot disappeared, and the MH remained for 10 months. Twenty-three months later, serous retinal detachment (SRD) involving the macula appeared and the MH had disappeared. SRD gradually disappeared, and macular configuration recovered. VA gradually improved and became 20/20 38 months later. Conclusion: Dynamic change of the ultrastructure in an unusual case of secondary-developed and spontaneously closed MH was clearly observed. Although the mechanism was unknown, the small diameter size and exudative PCV are thought to have contributed to the closure.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Development and spontaneous closure of a secondary macular hole associated with submacular hemorrhage due to polypoidal choroidal vasculopathy: a case report

et al. 2020

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“…It was perhaps for this reason that 1 month after surgery, the edge of the MH reattached to the retinal pigment epithelium and the MH became smaller. After MH become smaller, ILM peeling induces glial cell proliferation across the hole [17] and small macular defects, may allow easy migration of glial cells. [16] These mechanisms may help the delayed closure occurred in this case.…”

Section: Discussionmentioning

confidence: 99%

Delayed closure of macular hole secondary to Terson syndrome after vitrectomy

Yan

Sun²,

Shen³

2019

Medicine

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Rationale: Macular hole (MH) is a rare complication of Terson syndrome. Delayed closure of persistent MH after pars plana vitrectomy (PPV) is occasionally reported in literature, none of them is MH secondary to Terson syndrome. We describe a case of MH secondary to Terson syndrome and delayed closure occurred after PPV, and we also study the characteristics of delayed closure of persistent MH by reviewing related literatures. Patient concerns: A 61-year-old man presented with vitreous hemorrhage in right eye following a subarachnoid hemorrhage due to spontaneous rupture of his right vertebral artery dissecting aneurysm. The visual acuity was hand motion in the right eye and 20/30 in the left eye. Fundus examination showed dense and diffuse vitreous hemorrhage in the right eye. Diagnoses: Terson syndrome was diagnosed according to his subarachnoid hemorrhage history and vitreous hemorrhages in right eye. Interventions: PPV combined with phacoemulsification and intraocular lens implantation was performed in his right eye, and internal limiting membrane (ILM) peeling was also performed due to a MH noted during the surgery. Outcomes: One week after PPV, optical coherence tomography (OCT) showed a persistent MH. Without any intervention, the MH became smaller and flattened, with the best corrected visual acuity (BCVA) improved to 30/200 at 1 month after surgery. Six months later, the MH completely closed with BCVA improved to 20/40. According to our literature review, there are 8 cases of the delayed MH closure, which includes idiopathic MH (4 eyes), traumatic MH (2 eyes), and vitreomacular traction (2 eyes). There is no report about delayed closure of MH secondary to Terson syndrome. The times for these delayed closure occurred following PPV were ranged from 1 to 28 months. Holes even with obviously raised edges after PPV may spontaneously close, just like the case presented here. Lessons: Delayed closure of persistent MH after PPV is rarely reported. The significance of this case is to suggest that similar patients should be monitored carefully by OCT, and additional surgery for the MH may be delayed, since delayed closure is possible. The exact mechanisms of delayed closure of persistent MH still need to be clarified.

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“…Hemorrhages from a macroaneurysm can be located in the vitreous cavity and any of the retinal layers: preretinal hemorrhages, sub-internal limiting membrane (sub-ILM) hemorrhages, intraretinal hemorrhages, and subretinal hemorrhages. A ruptured RAM may rarely leads to macular hole (MH) formation [1][2][3]. MH formation secondary to a ruptured macroaneurysm may occur due to mechanical damage caused by expulsion of blood from the vessels, and the distance of the RAM from the fovea is known to be strongly related to MH occurrence [1,2].…”

Section: Macular Hole Formation Following Vitrectomy For Ruptured Retinal Arterial Macroaneurysmmentioning

confidence: 99%

“…A ruptured RAM may rarely leads to macular hole (MH) formation [1][2][3]. MH formation secondary to a ruptured macroaneurysm may occur due to mechanical damage caused by expulsion of blood from the vessels, and the distance of the RAM from the fovea is known to be strongly related to MH occurrence [1,2]. No previous studies on the occurrence of MH after pars plana vitrectomy (PPV) for a ruptured RAM have been reported.…”

Section: Macular Hole Formation Following Vitrectomy For Ruptured Retinal Arterial Macroaneurysmmentioning

confidence: 99%

Macular Hole Formation Following Vitrectomy for Ruptured Retinal Arterial Macroaneurysm

Jang

2021

Korean J Ophthalmol

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Early-onset macular holes following ruptured retinal arterial macroaneurysms

Cited by 16 publications

References 12 publications

Development and spontaneous closure of a secondary macular hole associated with submacular hemorrhage due to polypoidal choroidal vasculopathy: a case report

Development and spontaneous closure of a secondary macular hole associated with submacular hemorrhage due to polypoidal choroidal vasculopathy: a case report

Delayed closure of macular hole secondary to Terson syndrome after vitrectomy

Macular Hole Formation Following Vitrectomy for Ruptured Retinal Arterial Macroaneurysm

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