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A new surgical approach for the treatment of a refractory foveal microaneurysm: A case report.
Tanaka, Hiroshi; Kojima, Kentaro; Miyatani, Takafumi; Kusada, Natsuki; Terao, Nobuhiro; Nagata, Kenji; Sotozono, Chie.
Afiliación
  • Tanaka H; Department of Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, Japan.
  • Kojima K; Department of Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, Japan.
  • Miyatani T; Department of Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, Japan.
  • Kusada N; Department of Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, Japan.
  • Terao N; Department of Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, Japan.
  • Nagata K; Department of Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, Japan.
  • Sotozono C; Department of Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Am J Ophthalmol Case Rep ; 34: 102034, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38495594
ABSTRACT

Purpose:

To report a case of a refractory foveal microaneurysm (MA) that was successfully treated by use of a new surgical procedure. Observations This study involved a 79-year-old female with an active foveal MA associated with branch retinal vein occlusion in her left eye. Despite anti-vascular endothelial growth factor treatments, the MA remained active without closure, and best-corrected visual acuity (VA) gradually decreased from 20/20 to 20/200. After our new surgical procedure was explained in detail to the patient, written informed consent was obtained from the patient and the surgery was performed. Briefly, following pars plana vitrectomy, the internal limiting membrane in her left eye was peeled and the retina of the external wall of the MA was then gently incised. The exposed MA was then directly grabbed and pulled up onto the retina using 27-gauge microforceps, and photocoagulation was performed. At 3-months postoperative, closure of the MA and improvement in the retinal findings were observed, and best-corrected VA improved to 20/67. Conclusions and importance We report a case of a refractory foveal MA that was successfully treated with a novel surgical technique that closed the MA, avoided thermal damage to the surrounding tissue, and resulted in improved postoperative VA.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Am J Ophthalmol Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Am J Ophthalmol Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos