PARS-PLANA VITRECTOMY FOR COMPLICATIONS OF RETINAL ARTERIAL MACROANEURYSMS - A CASE SERIES

Retinal arterial macroaneurysms are distinct vascular lesions with a t ypically benign course. Laser treatment to these vascular lesions is c ontroversial, and has been limited to cases of persistent macular edem a. Devastating vision loss can occur, however, through vitreous or sub retinal hemorrhage. We describe eight cases of retinal arterial macroa neurysms associated with subretinal or vitreous hemorrhage requiring p ars plana vitrectomy. Final visual acuities ranged from 20/20 to 20/40 0 at most recent follow up. Until reliable indicators of rupture are i dentified, we suggest consideration of laser photocoagulation to clini cally active, identifiable retinal arterial macroaneurysms within the macula.