Keywords
RAMs
Retinal vascular diseases
Vitreous haemorrhage
Categories
How to Cite
Abstract
Retinal Arterial Macroaneurysms (RAMs) are acquired saccular or fusiform dilatations of the large branches of
retinal arteries, usually within the first three orders of bifurcation. RAMs are rare conditions and usually affect
hypertensive elderly women. In clinical practice, RAMs are frequently misdiagnosed as they masquerade
other retinal conditions. We present a case of haemorrhagic RAM which was initially misdiagnosed as vitreous
haemorrhages secondary to retinal vein occlusion or posterior vitreous detachment.
References
Pitkänen L, Tommila P, Kaarniranta K, Jääskeläinen
JE, Kinnunen K. Retinal arterial macroaneurysms.
Acta Ophthalmol (Copenh). 2014; 92(2):101–104.
Retinal arterial macroaneurysms - retina and
vitreous - Albert & Jakobiec’s Principles & Practice
of Ophthalmology, 3rd Edition [Internet]. [cited
Jun 16]. Available from: http://doctorlib.info/
ophthalmology/principles/17.html
Nangia V, Jonas JB, Khare A, Sinha A, Lambat S.
Prevalence of retinal macroaneurysms. The Central
India Eye and Medical Study. Acta Ophthalmol
(Copenh). 2013; 91(2):e166–167.
Moosavi RA, Fong KCS, Chopdar A. Retinal
artery macroaneurysms: clinical and fluorescein
angiographic features in 34 patients. Eye. 2005;
(9):1011–20.
Lavin MJ, Marsh RJ, Peart S, Rehman A. Retinal
arterial macroaneurysms: a retrospective study of 40
patients. Br J Ophthalmol. 1987; 71(11):817–825.
Koinzer S, Heckmann J, Tode J, Roider J. Long-term,
therapy-related visual outcome of 49 cases with retinal
arterial macroaneurysm: a case series and literature
review. Br J Ophthalmol. 2015; 99(10):1345–53.
Speilburg AM, Klemencic SA. Ruptured retinal
arterial macroaneurysm: diagnosis and management.
J Optom. 2014; 7(3):131–137.
Brown DM, Sobol WM, Folk JC, Weingeist TA.
Retinal arteriolar macroaneurysms: long-term visual
outcome. Br J Ophthalmol. 1994; 78(7):534–538.
Goldenberg D, Soiberman U, Loewenstein A,
Goldstein M. Heidelberg spectral-domain optical
coherence tomographic findings in retinal artery
macroaneurysm. Retina. 2012; 32(5):990–995.
Chatziralli I, Maniatea A, Koubouni K, Parikakis E,
Mitropoulos P. Intravitreal ranibizumab for retinal
arterial macroaneurysm: long-term results of
a prospective study. Eur J Ophthalmol. 2017;
(2):215–219.
Erol MK, Dogan B, Coban DT, Toslak D, Cengiz A,
Ozel D. Intravitreal ranibizumab therapy for retinal
arterial macroaneurysm. Int J Clin Exp Med. 2015;
(7):11572–8.
Pichi F, Morara M, Torrazza C, Manzi G, Alkabes M,
Balducci N, et al. Intravitreal bevacizumab for macular
complications from retinal arterial macroaneurysms.
Am J Ophthalmol. 2013; 155(2):287–294.
Cho HJ, Rhee TK, Kim HS, Han JI, Lee DW, Cho
SW, et al. Intravitreal bevacizumab for symptomatic
retinal arterial macroaneurysm. Am J Ophthalmol.
; 155(5):898–904.