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Curbside Consultation in Retina

Online-only Article: Imaging

Optical Coherence Tomography Imaging of Macular Hemorrhage Caused by Retinal Arterial Macroaneurysm

Ophthalmic Surgery, Lasers and Imaging   Vol. 41   e1–2
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Arghavan Almony, MD; Mandeep Singh Dhalla, MD and Gaurav K. Shah, MD

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ABSTRACT

The authors report optical coherence tomography (OCT) findings of a hypertensive woman with retinal arterial macroaneurysm who noted sudden decreased vision in the left eye. Fluorescein angiography and OCT confirmed a diagnosis of retinal arterial macroaneurysm with macular hemorrhage, delineating the sub-internal limiting membrane and subretinal location of the hemorrhage. She subsequently underwent surgical displacement of the hemorrhage. OCT may be a useful imaging tool for evaluation and guidance of treatment in a hemorrhage involving the macula in retinal arterial macroaneurysm, diabetic retinopathy, and Terson's syndrome.

Authors

From the Barnes Retina Institute and the Department of Ophthalmology and Visual Sciences (AA, GKS), Washington University School of Medicine, St. Louis, Missouri; and the Retina Group of Florida (MSD), Ft. Lauderdale, Florida.

Originally submitted February 19, 2009. Accepted for publication February 19, 2010. Posted online May 28, 2010.

The authors have no financial or proprietary interest in the materials presented herein.

Address correspondence to Gaurav K. Shah, MD, Barnes Retina Institute, 1600 S. Brentwood Blvd., Suite 800, St. Louis, MO 63144.

doi: 10.3928/15428877-20100525-08

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