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망막대동맥류의 임상 경과

Clinical Outcomes of Retinal Arterial Macroaneurysm

검안 및 콘택트렌즈학회지 2017년 16권 3호 p.98 ~ 103
유준호, 김성우, 오재령,
소속 상세정보
유준호 ( Yoo Jun-Ho ) - 고려대학교 의과대학 안과학교실
김성우 ( Kim Seong-Woo ) - 고려대학교 의과대학 안과학교실
오재령 ( Oh Jae-Ryung ) - 고려대학교 의과대학 안과학교실

Abstract


Purpose: To evaluate the clinical aspects and outcomes of eyes with retinal arterial macroaneurysm.

Methods: From March 2011 to December 2016, we retrospectively reviewed the medical records of patients diagnosed with retinal arterial macroaneurysm and investigated the baseline visual acuity, final visual acuity, location and type of the retinal arterial macroaneurysm.

Results: Twenty-eight eyes of 28 patients were included in the study and 23 (82%) of them were female. Retinal arterial macroaneurysm were more common in the superotemporal retina, and hemorrhagic type was in 19 eyes (68%), exudative type was in 9 eyes (32%) respectively. Twenty-one eyes (75%) were treated with focal laser photocoagulation or intravitreal bevacizumab injection or vitrectomy according to the physician's judgment, and the remaining 7 eyes (25%) were observed without any treatment. The visual acuity improved in both observation and treatment groups, but there was no statistically significant difference in the baseline and final visual acuity between two groups (p=0.140, 0.959, respectively).

Conclusions: All of the treatment methods for retinal arterial aneurysms in this study were all effective and the patient's overall visual prognosis was good. The choice of appropriate treatment modalities according to the clinical features of the retinal arterial aneurysms may be helpful for visual prognosis.

키워드

Observation; Retinal Arterial Macroaneurysm; Treatment; Visual prognosis

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