Ruptured retinal arterial macroaneurysm: Diagnosis and management

• Main Authors: Ashley M. Speilburg, Stephanie A. Klemencic
• Format: Article
• Language: English
• Published: Elsevier 2014-07-01
• Series: Journal of Optometry
• Subjects: Retinal arterial macroaneurysm; Sudden vision loss; Retinal hemorrhage; Exudation; Hypertension
• Online Access: http://www.sciencedirect.com/science/article/pii/S1888429613000605

Retinal arterial macroaneurysm is an acquired, focal dilation of a retinal artery, typically occurring within the first three bifurcations of the central retinal artery. The clinical presentation of a retinal arterial macroaneurysm is highly variable, making initial diagnosis difficult and differentials many. Identification of retinal arterial macroaneurysms is crucial to appropriately co-manage with the primary care physician for hypertension control. Prognosis is generally good and observation is often an adequate treatment. However, in cases of macular threat or involvement, some treatment options are available and referral to a retinal specialist is indicated.