Optic disc macroaneurysm in evolution: from incidental finding to branch retinal artery occlusion and spontaneous resolution

Das-Bhaumik, Raja; Lindfield, Dan; Quinn, Shauna; Charles, Steven T.

doi:10.1136/bjo.2008.151928

Cited by 10 publications

(12 citation statements)

References 5 publications

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“…In addition, the atypical location on the optic disk can broaden the differential diagnosis to include granulomatous and neoplastic mass lesions. 5 Furthermore, of the eight case reports of optic disk macroaneurysm, five were associated with branch retinal artery occlusion, [5][6][7][8][9] which is a significantly higher rate than the 3% to 8% reported for macroaneurysms as a whole. 2,3 Confirmatory testing should include fluorescein angiography, although dense hemorrhage can block fluorescence enough to obscure the macroaneurysm.…”

Section: Discussionmentioning

confidence: 93%

“…1 Of the eight optic disk macroaneurysm case reports, seven were observed through spontaneous thrombosis, whereas one was anticoagulated. [5][6][7][8][9][11][12][13] Inhibitors of vascular endothelial growth factor have recently been shown to hasten visual improvement and resolution of macular edema as compared with observation, although final vision and macular thickness were equivalent between the two groups. 14 Key words: hypertension, optic disk, retinal artery macroaneurysm, retinal hemorrhage.…”

Section: Discussionmentioning

confidence: 97%

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Ruptured Retinal Arterial Macroaneurysm on the Optic Disk

Rahimy

Doyle²,

Brown³

2017

RETINAL Cases &Amp; Brief Reports

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 97%

Ruptured Retinal Arterial Macroaneurysm on the Optic Disk

Rahimy

Doyle²,

Brown³

2017

RETINAL Cases &Amp; Brief Reports

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“…A few case reports showed spontaneous resolution of macroaneurysm on the optic disc without treatment [1, 2, 3, 4, 5]. Considering the risk of visual field loss by laser photocoagulation, we decided to just follow-up without performing any special treatment for the macroaneurysm on the optic disc.…”

Section: Discussionmentioning

confidence: 99%

“…Some cases of macroaneurysm on the optic disc, which is a rare location for retinal macroaneurysm, were previously reported [1, 2, 3, 4, 5]. The precise etiology of macroaneurysm on the optic disc is still unclear, although it is assumed that it is similar to retinal macroaneurysm [6].…”

Section: Introductionmentioning

confidence: 99%

Macroaneurysm on the Optic Disc in a Patient with Aortic Dissection

Takeyama

Iwaki

Zako

2013

Case Rep Ophthalmol

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Purpose: We report a case of macroaneurysm on the optic disc, a rare location, accompanied by vitreous hemorrhage in a patient with aortic dissection. Methods: A 60-year-old female with a history of aortic dissection at the age of 51 presented with visual disturbance owing to vitreous hemorrhage in her right eye. During vitrectomy, we found a large macroaneurysm on the optic disc that was beating and oozing blood. However, the macroaneurysm was not treated. Results: The macroaneurysm gradually shrunk, and the beating and oozing of blood disappeared accordingly. Conclusion: Up to now, there have been no reports of macroaneurysm on the optic disc in aortic dissection patients. The association between macroaneurysm on the optic disc and aortic dissection is unclear; therefore, additional case reports may be necessary. To the best of our knowledge, our case is the first one reported in the literature.

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“…The natural history of ONRAMs is not well understood due to their rarity. ONRAMs can be an asymptomatic incidental finding [ 5 ] or can result in vitreous hemorrhage [ 6 , 7 , 8 , 9 ], branch retinal artery occlusion [ 8 , 10 , 11 , 12 ], or macular edema [ 13 , 14 , 15 , 16 ]. To our knowledge, only five eyes in three publications required pars plana vitrectomy (PPV) for vitreous hemorrhage from a ruptured ONRAM [ 7 , 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Recurrent Vitreous Hemorrhage from an Optic Nerve Retinal Arterial Macroaneurysm

Yang

Kishore

2017

Case Rep Ophthalmol

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Objective: To report a case of recurrent vitreous hemorrhage from an optic nerve retinal arterial macroaneurysm (ONRAM) successfully treated with intraoperative endolaser. Patient and Methods: A 92-year-old woman on oral aspirin and warfarin anticoagulation for atrial fibrillation developed three episodes of dense vitreous hemorrhage from an ONRAM. Due to failure of the vitreous hemorrhage to clear spontaneously, a total of three pars plana vitrectomy (PPV) procedures were performed along with a 1.25-mg intravitreal bevacizumab injection after the third episode of hemorrhage. During the third PPV procedure, a 25-gauge 532-nm green diode laser endoprobe was used to deliver low-power (100 mW) and long-duration (500 ms) laser spots directly on the ONRAM to induce intraoperative shrinkage of the ONRAM. Results: After the endolaser treatment, the macroaneurysm showed involution due to fibrosis without any adverse effects on retinal circulation or visual field defect. No recurrence of vitreous hemorrhage was noted after 2 years of follow-up. Conclusion: Oral anticoagulant use may have been responsible for the atypical clinical course in our patient. Laser photocoagulation, including intraoperative endolaser photocoagulation, may be considered in selected cases of symptomatic ONRAMs.

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Optic disc macroaneurysm in evolution: from incidental finding to branch retinal artery occlusion and spontaneous resolution

Cited by 10 publications

References 5 publications

Ruptured Retinal Arterial Macroaneurysm on the Optic Disk

Ruptured Retinal Arterial Macroaneurysm on the Optic Disk

Macroaneurysm on the Optic Disc in a Patient with Aortic Dissection

Recurrent Vitreous Hemorrhage from an Optic Nerve Retinal Arterial Macroaneurysm

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