Retinal arteriolar macroaneurysms: long-term visual outcome

David M Brown; Warren M Sobol; James C Folk; Thomas A Weingeist

doi:10.1136/bjo.78.7.534

Back

Retinal arteriolar macroaneurysms: long-term visual outcome

Journal article

Open access

Peer reviewed

Retinal arteriolar macroaneurysms: long-term visual outcome

David M Brown, Warren M Sobol, James C Folk and Thomas A Weingeist

British journal of ophthalmology, Vol.78(7), pp.534-538

07/1994

DOI: 10.1136/bjo.78.7.534

PMID: 7918263

Files and links (1)

url

https://doi.org/10.1136/bjo.78.7.534View

Published (Version of record) Open Access

Abstract

Visual outcome was analysed in 16 consecutive eyes with symptomatic retinal arteriolar macroaneurysms treated by direct laser photocoagulation and 26 consecutive symptomatic eyes followed with no treatment. No difference existed between groups in presenting visual acuity, macular involvement, presence of macular subretinal fluid, or presence or location of associated haemorrhage. The mean follow up was 41 months. In the 26 untreated eyes, visual acuity was improved by 2 or more lines in 13 (50%), was unchanged in nine (35%), and decreased in four cases (15%). In the 16 treated cases, three improved (19%), seven were unchanged (43%), and six had decreased visual acuity (38%). The average minimum angle of resolution improved 0.53 log units in untreated cases and decreased 0.14 log units in treated cases (p = 0.02). Multivariable logistic regression modelling analysis revealed that laser treatment remained a significant risk factor for final visual acuity of less than 20/80 even when controlling for the effects of subretinal haemorrhage and foveal subretinal fluid (odds ratio 8.4, p = 0.01). Laser photocoagulation directly to the macroaneurysm did not improve the visual outcome in this series.

Aneurysm - surgery

Prognosis

Humans

Risk Factors

Fovea Centralis - pathology

Laser Coagulation

Retinal Artery - surgery

Aneurysm - physiopathology

Aneurysm - pathology

Retinal Artery - physiopathology

Retinal Artery - pathology

Retinal Diseases - pathology

Aged

Retrospective Studies

Retinal Diseases - physiopathology

Visual Acuity - physiology

Retinal Diseases - surgery

Details

Title: Subtitle: Retinal arteriolar macroaneurysms: long-term visual outcome
Creators: David M Brown - Department of Ophthalmology, University of Iowa College of Medicine, University of Iowa Hospitals and Clinics, Iowa City 52242
Warren M Sobol
James C Folk
Thomas A Weingeist
Resource Type: Journal article
Publication Details: British journal of ophthalmology, Vol.78(7), pp.534-538
Publisher: England
DOI: 10.1136/bjo.78.7.534
PMID: 7918263
ISSN: 0007-1161
eISSN: 1468-2079
Language: English
Date published: 07/1994
Academic Unit: Ophthalmology and Visual Sciences
Record Identifier: 9983980397702771

Metrics

12 Record Views

46 Times Cited - Web of Science