Arterial macroaneurysm of the optic nerve described with Angio-OCT
case report
DOI:
https://doi.org/10.70313/2718.7446.v17.n04.372Keywords:
optic nerve arterial macro aneurysm, angio-OCT, hypertensive retinopathy, arterial hypertensionAbstract
The optic nerve arterial macroaneurysm is a very rare pathology, with occasional spontaneous and benign resolution, unless there are complications, such as vitreous hemorrhages. They are usually detected in routine fundus examinations and their diagnosis is usually not so simple, representing a challenge for the ophthalmologist. The aim of our work is to highlight the role of optical coherence angiography in the diagnosis of arterial macroaneurysm of the optic nerve, based on a case report, a method that we also find of great value in its follow-up. The case presented was a finding in a 69-year-old hypertensive man, who so far had no complications and is being followed up with biannual angio-OCT.
References
Quhill F, Smith JM, Scotcher SM. Arterial macroaneurysm on the optic disc. Eye (Lond) 2004; 18(3): 321-322. doi:10.1038/sj.eye.6700620
Xu L, Wang Y, Jonas JB. Frequency of retinal macroaneurysms in adult Chinese: the Beijing Eye Study. Br J Ophthalmol 2007; 91(6): 840-841. doi:10.1136/bjo.2006.107342
Panton RW, Goldberg MF, Farber MD. Retinal arterial macroaneurysms: risk factors and natural history. Br J Ophthalmol 1990; 74(10): 595-600. doi:10.1136/bjo.74.10.595
Ouederni M, Sassi H, Chelly Z, Nefaa F, Cheour M. Optical coherence tomography angiography in idiopathic retinal vasculitis, aneurysms and neuroretinitis (IRVAN) syndrome: a case report. Eur J Ophthalmol 2022; 32(1): NP144-NP148. doi:10.1177/1120672120957593
Rey A, Alforja S, Sabater N, Giralt J, Alvarez G, Adan A. Historia natural del macroaneurisma arterial de nervio óptico. Arch Soc Esp Oftalmol 2014; 89(3): 113-116. doi:10.1016/j.oftal.2012.07.017
Yang JF, Kishore K. Recurrent vitreous hemorrhage from an optic nerve retinal arterial macroaneurysm. Case Rep Ophthalmol 2017; 8(3): 503-509. Published 2017 Oct 26. doi:10.1159/000481704.
Mansour AM, Foster RE, Gallego-Pinazo R, et al. Intravitreal anti-vascular endothelial growth factor injections for exudative retinal arterial macroaneurysms. Retina 2019; 39(6): 1133-1141. doi:10.1097/IAE.0000000000002131
Rijey J, Goel S, Saurabh K, Roy R. A rare case of ruptured optic disc retinal arterial macroaneurysm and its successful management with intravitreal ranibizumab. Indian J Ophthalmol 2020; 68(1): 200-201. doi:10.4103/ijo.IJO_1127_19
Kashani AH, Chen CL, Gahm JK, et al. Optical coherence tomography angiography: a comprehensive review of current methods and clinical applications. Prog Retin Eye Res 2017; 60: 66-100. doi:10.1016/j.preteyeres.2017.07.002
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