AUTHOR=Liu Zhigao , Wang Shuya , Wang Yu , Ma Aihua , Zhao Bojun 

TITLE=Vitrectomy With Peeling the Internal Limiting Membrane for the Treatment of Macular Hole Following Ruptured Retinal Arterial Macroaneurysm: A Case Report

JOURNAL=Frontiers in Medicine

VOLUME=Volume 8 - 2021

YEAR=2021

URL=https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2021.793054

DOI=10.3389/fmed.2021.793054

ISSN=2296-858X

ABSTRACT=Background: To report a case of Vitrectomy with peeling the Internal Limiting Membrane for the treatment of Macular Hole following Ruptured Retinal Arterial Macroaneurysm.
Case presentation: A 65-year-old woman noticed a sudden decrease in vision in her left eye. She had no other ocular problems apart from mild cataract in both eyes before. Her best-corrected visual acuity was 20/33 in her right eye, and 6/100 in her left eye.Fluorescein angiography showed a retinal arterial macroaneurysm with telangiectatic retinal vascular changes in the inferior temporal macular region.Opticalcoherence tomography(OCT) examination demonstrated the presence of  subretinal hemorrhage which extending into the foveal area and imcompleted posterior vitreous detachment.Because of the presence of submacular hemorrhage ,some medicine was administrated  and the patient was followed up. Five months later, the hemorrhage was absorbed. OCT examination exhibited a full-thickness MH with a macular epiretinal membrane.The size of macular hole was 722um in diameter.She was then given a standard three-port pars plana vitrectomy,along with peeling of the internal limiting membrane and  filling the vitreous cavity with air.Anatomic closure of the macular hole was achieved after four weeks of the surgery by the examination of OCT .The BCVA was improved to 15/100.
Conclusions: this case expands our konwledge of the association of macular hole secondary to ruptured RAMA.We reported a case with successful surgical closure of the macular hole and improvement of BCVA.
Key words
Retinal Arterial Macroaneurysm，Macular Hole, Vitrectomy,Visual acuity
Introduction.