Vitreous Hemorrhage Caused by Ruptured Retinal Macroaneurysm
A 58-year-old woman had a sudden appearance of floaters in her right eye. She was neither hypertensive nor diabetic. At the initial visit, her BCVA was −0.18 logMAR units in the right eye and −0.20 logMAR units in the left eye. The slit-lamp findings were unremarkable in both eyes. Fundus examination revealed a ruptured retinal arterial macroaneurysm at the optic disc and a small VH (fig. ). The OCT image did not show a subretinal hemorrhage and edema around the macroaneurysm. Only hemostatics (kalliginogenase) and circulatory agents (carbazochrome sodium sulfonate hydrate) were prescribed because no retinal detachment was observed by B-scan ultrasonography. Three months later, her BCVA remained at −0.18 logMAR units, and the size of the ruptured macroaneurysm decreased. Six months later, she had no recurrences and her BCVA remained at −0.18 logMAR units.