A 65-year-old hypertensive woman was monitored owing to a macular macroaneurysm in
the right eye (OR). She reported partial sudden vision loss in the preceding 2 days.
Her corrected visual acuity was <0.05 in the OR and 1.0 in the left eye. Slit-lamp
biomicroscopy and fundoscopic examination of the OR revealed initial cataract and
preretinal hemorrhage over the macular region, macroaneurysm near the upper temporal
arch, and local hard exudates (Fig. 1A). The diagnostic hypothesis was the ruptured macular macroaneurysm, with optical
coherence tomography indicating sub-inner limiting membrane (ILM) hemorrhage (Fig. 1B). A membranotomy with a YAG laser was performed (Fig. 1C). In subsequent clinical examinations, she showed improvement in visual acuity (0.2
OR), with no recurrences or complications so far.
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Article info
Publication history
Published online: October 13, 2020
Accepted:
September 21,
2020
Received in revised form:
September 2,
2020
Received:
July 19,
2020
Identification
Copyright
© 2020 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.
