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Impressum
Retinal arterial macroaneurysms - a retrospective analysis
1Bestelmeyer S., 2Wiechens B., 1Häring G.
1Klinik für Ophthalmologie der Christian-Albrechts-Universität zu Kiel, Hegewischstr. 2, D-24105 Kiel, 2Klinikum Hannover Nordstadt, Augenklinik, Haltenhoffstr. 41, 30167 Hannover
Objective: Aim of the study was a retrospective analysis of the
clinical features, therapy and clinical course of patients with retinal
arterial macroaneurysms.
Methods: Patients with retinal arterial macroaneurysms were identified
by screening our department's fluorescein angiogram records of the last
8 years. Patient records were evaluated with respect to ophthalmologic
and general risc factors, clinical findings, course and therapy.
Results: Overall 19 patients with a retinal arterial macroaneurysm
were identified, among them were 14 female and 5 male. The age range was
47 to 87 years (median 73 years). 2 female patients developed two macroaneurysms
each with several months time interval. Therefore, 21 macroaneurysms were
analyzed. Localization of the aneuysms was as follows: superior temporal
artery 8/21, inferior temporal artery 11/21, superior nasal artery 1/21,
and 1/21 directly at the optic disc. In 10/21 aneurysms the clinical picture
was predominated by exsudation and in 10/21 by bleeding. One macroaneurysm
showed neither exsudation nor bleeding. 15/21 eyes were treated with perianeurysmatic
Argon laser coagulation. Median follow up time was 27 months (range 2
to 52). Visual acuity significantly improved in 9 eyes, was unchanged
in 9 eyes, and deteriorated in 3 eyes. Of the eyes treated with Argon
laser coagulation visual acuity improved in 6 eyes, was unchanged in 6
eyes and deteriorated in 3 eyes. Of the untreated eyes 3 improved and
3 were stable in their visual acuity.
Conclusions: With respect to age and sex distribution our results
confirm those of other authors. A definite recommendation for the indication
and value of argon laser coagulation can not be given on the basis of
these data.