PMC5892329_01
a Fundus photograph at the initial visit. Note a raptured retinal arterial macoraneurysm (RAMA) in the superonasal macular region (white arrowhead), a subretinal hemorrhage involving the macula of approximately 4 disc diameters in size, and sub-internal limiting membrane hemorrhage in the inferior macular region with a niveau formation. b Optical coherence tomography finding at the initial visit. Note a swollen retina due to bleeding from the raptured RAMA, but it was difficult to visualize the retina in detail because of the signal reduction due to SRH.
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F1
A fundus examination revealed a RAMA in the superonasal macular region, a subretinal hemorrhage (SRH) approximately 4 disc diameters in size, involving the macula, and a sub-ILM hemorrhage in the inferior macular region with a niveau formation (Fig. 1a). Preoperative optical coherence tomography (OCT) OD images depicted a swollen retina due to bleeding from the ruptured RAMA, but it was difficult to visualize the retina in detail because of the signal reduction due to SRH (Fig. 1b).
a Fundus photograph 2 weeks after the first surgery. Subfoveal hemorrhage still remained. b OCT finding 2 weeks after the first surgery. MH was not closed (white arrowhead).
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F2
Two weeks after the surgery, a subfoveal hemorrhage remained (Fig. 2a), and the MH was not closed (Fig. 2b).
a Fundus photograph 6 months after the last surgery. RAMA was organized (white arrowhead) and subfoveal hemorrhage was absorbed. b OCT finding 6 months after the last surgery. MH was successfully closed.
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F3
Six months after the final surgery, the MH remained closed (Fig. 3a, b) and the BCVA was 0.6 OD.