Multiple Retinal Macroaneurysms in a Hypertensive Patient

Abstract

Purpose: The evaluation of different therapeutic strategies in a patient with multiple retinal arterial macroaneurysms. Case: A 71-year-old female hypertensive patient is treated for several retinal macroaneurysms both exudative and hemorrhagic, over a period of four years. Clinical evaluation, fluorescein angiography and optical coherence tomography findings are included. Results: Hypertension is strongly associated with macroaneurysm development. Indirect laser treatment and vitrectomy are proven useful when indicated according to the type of the lesion and the visual outcome is encouraging even after several interventions. Conclusion: Although acquired RAMs are usually considered solitary lesions, a patient with four RAMs in the same eye is described in the present report. The characteristics of each RAM require a different therapeutic strategy and close monitoring is also essential.