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  • Title: [Pulsatile arterial macroaneurysm: management with argon laser photocoagulation].
    Author: Psinakis A, Kokolakis S, Theodossiadis PG, Koutsandrea C.
    Journal: J Fr Ophtalmol; 1989; 12(10):673-6. PubMed ID: 2638365.
    Abstract:
    Retinal arterial macroaneurysms (RAMs) represent wall dilatations of the retinal arteries most commonly found in elderly, hypertensive women. They are usually asymptomatic, non pulsatile, spontaneously resolving entities. However visual loss may occur secondary to macular edema, exudate and hemorrhage. We present a case of a pulsatile RAM of a 58 year old, hypertensive, one eye woman suffering progressive visual loss. She was immediately treated with indirect laser photocoagulation. Eight weeks later there was a prominent resolution of both edema and hard exudates with an impressive increase of the visual acuity. Since indications for photocoagulation and treatment modalities remain uncertain we present the case to emphasize the necessity of immediate treatment of special cases.
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