Th. Tezel et al., MORPHOMETRIC ANALYSIS OF EXUDATIVE RETINAL ARTERIAL MACROANEURYSMS - A GEOMETRICAL APPROACH TO EXUDATE CURVES, Ophthalmic research, 26(6), 1994, pp. 332-339
We studied morphometrically the color transparencies and fluorescein a
ngiograms of 5 patients with six exudative retinal arterial macroaneur
ysms. Our aim was to express the dependence of the exudate morphology
upon the location of the macroaneurysm with an algebraic polynomial an
alysis. We derived the second-degree conical equations of the exudate
curves and computed the location of their cardinal descriptive paramet
ers. The relationship between the site of the macroaneurysms and the c
omputed hypothetical parameters of their exudate curves revealed that
the structural features of the exudates are dependent upon the distanc
e of the macroaneurysm to the foveola, the gravitational force and the
clearing capacity of the venous net. The point where the macroaneurys
m develops approximately 3 mm from the center of the macula seems to b
e a 'crucial point'. Macroaneurysms located closer than this point may
cause the exudates that occupy the fovea and create severe visual los
s.