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      Retinal arterial macroaneurysms.

      1 , ,
      Survey of ophthalmology
      Elsevier BV

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          Abstract

          Retinal arterial macroaneurysms represent a distinct clinical entity. Macroaneurysms are seen in the elderly with a marked female predominance and a strong association with hypertension and arteriosclerotic vascular changes. The classic appearance provides an easy diagnosis; however, variable presentations, such as subretinal hemorrhage, macular exudate, and epiretinal membranes can make the diagnosis difficult. The differential diagnosis of retinal arterial macroaneurysms include retinal telangiectasia, angiomatosis retinae, venous macroaneurysms, background diabetic retinopathy, and cavernous hemangioma. The clinical characteristics of the reported cases are summarized, and our series of 60 patients is presented. The natural history of most macroaneurysms is spontaneous involution without loss of vision. However, visual loss may occur secondary to macular edema, exudate, hemorrhage and neurosensory retinal detachment, and photocoagulation may expedite visual recovery. Photocoagulation treatment may be applied directly to the macroaneurysm, indirectly by surrounding the macroaneurysm, or as a combination of these two methods.

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          Author and article information

          Journal
          Surv Ophthalmol
          Survey of ophthalmology
          Elsevier BV
          0039-6257
          0039-6257
          September 1 1988
          : 33
          : 2
          Affiliations
          [1 ] University of Illinois Eye and Ear Infirmary, Chicago.
          Article
          0039-6257(88)90160-9
          10.1016/0039-6257(88)90160-9
          3055391
          a834b7b7-5ee4-4321-a7ba-2e5518ac9397
          History

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