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Formation of macular hole and hematoma posterior to internal limiting membrane in two cases of retinal macroaneurysm Haruhiko Yamada 1 , Eri Yamada 1,2 1Dept of Ophthalmol,Arisawa Gen Hosp 2Yamada Eye Clin pp.1819-1823
Published Date 2006/10/15
DOI https://doi.org/10.11477/mf.1410100956
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Abstract. Purpose:To report two cases of retinal macroaneurysm with macular hole and hematoma posterior to internal limiting membrane(ILM). Cases:Preretinal hematoma was detected in 2 females aged 70 and 85 years respectively. Both had received cataract surgery with intraocular lens implantation. One had schizophrenia and the other had chronic renal failure. Retinal macroaneurysm was suspected as the cause of preretinal hematoma. Vitreous surgery was performed on both cases. As intraoperative finding,hematoma was located posterior to ILM. Macular hole was detected after aspiration of hematoma. The macula hole closed spontaneously a few days later. Visual acuity improved from 0.02 to 0.1 after surgery in both cases. Conclusion:Pre-or sub-retinal hematoma may result from rupture of retinal macroaneurysm. The observed macular hole may have formed by pressure of accumulated subretinal hematoma allowing migration of blood into the preretinal space.


Copyright © 2006, Igaku-Shoin Ltd. All rights reserved.

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