Vitreous Hemorrhage Caused by Ruptured Retinal Macroaneurysm
An 82-year-old woman had a sudden decrease of vision in her left eye. She had hypertension and was taking antihypertensive medication. At the initial examination, her BCVA was 2.0 logMAR units in the left eye. The results of the slit-lamp examination were unremarkable in both eyes. Her fundus could not be observed because of the massive VH; however, B-scan ultrasonography did not show a retinal detachment. One month after medicinal treatment, the VH was not resorbed and vitrectomy was performed. After the hemorrhage was removed, a ruptured macroaneurysm with subretinal hemorrhage was detected within the vascular arcade (fig. ). After the surgery, the macroaneurysm became atrophic, and the subretinal hemorrhage gradually decreased. The OCT images showed a subretinal hemorrhage around the ruptured macroaneurysm. Three months later, the BCVA improved to −0.18 logMAR units and the macroaneurysm was atrophic. The size of the subretinal hemorrhage near the macroaneurysm was reduced. Six months later, she has had no recurrences, and the BCVA remained at −0.18 logMAR units.