Spectral Domain Optical Coherence Tomography in Juxtapapillary Macroaneurysm

Background

Retinal arterial macroaneurysm (MA) is an acquired saccular or fusiform dilatation of a major retinal artery and is primarily located at arteriovenous crossings. Juxtapapillary MA (JMA) is uncommon, with only a few cases reported [1] [2] [3] [4] [5] [6].

We describe the benefits of spectral domain (SD) optical coherence tomography (OCT) in the follow-up of JMA and its exsudative features, compared to intravenous fluorescein (FA) and indocyanine green angiograms (ICGA).

References

• 1 Das-Bhaumik R G, Liedfield D, Quinn S et al. Optic disc macroaneurysm in evolution: from incidental finding to branch retinal artery occlusion and spontaneous reolution.  Br J Ophtalmol. published online May 7, 2009
• 2 Brown G C, Weinstock F. Arterial macroaneurysm on the optic disk presenting as a mass lesion.  Am Ophtalmol. 1985;  17 (9) 519-520
• 3 Shiotani N. A case of macroaneurysm at the optic disc with central retinal artery branch occlusion.  Folia Ophtalmol Jpn. 1981;  32 262-268
• 4 Mitamura Y, Miyano N, Suzuki Y et al. Branch retinal artery occlusion associated with rupture of arteriolar macroaneurysm on the optic disc.  Jap J Ophtalmol. 2005;  49 (5) 428-729
• 5 Kubo E, Kimura K, Sugimoto Y et al. Bilateral optic disc macroaneurysm associated with acquired vascular loop.  Jap J Opthalmol. 2009;  53 (5) 561-563
• 6 Quhill F, Smith J MA, Scotcher S M. Arterial macroaneurysm on the optic disc.  Eye. 2004;  18 321-322
• 7 Kester E, Walker E. Retinal arterial macroaneurysm causing multilayered retinal hemorrhage.  Optometry. 2009;  80 (8) 425-430
• 8 DellaCroce J T, Vitale A T. Hypertension and the eye.  Curr Opin Ophtalmol. 2008;  19 (6) 493-498
• 9 Tsujikawa A, Sakamoto A, Ota M et al. Retinal structural changes associated with retinal arterial macroaneurysm examined with optical coherence tomography.  Retina. 2009;  29 (6) 782-792