Racemose hemangioma complicated with macular macroaneurysm rupture

Kodai Yamauchi; Yukihiko Suzuki; Takayuki Tanaka-Gonome; Kobu Adachi; Natsuki Maeda; Mitsuru Nakazawa

doi:10.1016/j.ajoc.2021.101053

Racemose hemangioma complicated with macular macroaneurysm rupture

Am J Ophthalmol Case Rep. 2021 Mar 5:22:101053. doi: 10.1016/j.ajoc.2021.101053. eCollection 2021 Jun.

Authors

Kodai Yamauchi¹, Yukihiko Suzuki¹, Takayuki Tanaka-Gonome¹, Kobu Adachi¹, Natsuki Maeda¹, Mitsuru Nakazawa¹

Affiliation

¹ Department of Ophthalmology, Hirosaki University Graduate School of Medicine, 5 Zaifu, Hirosaki, Aomori, Japan.

Abstract

Purpose: To describe a rare case of racemose hemangioma which developed spontaneous macular macroaneurysm (MA) rupture and vitreaous hemorrhage.

Observations: A 29-year-old healthy asian female visited our hospital and a racemose hemangioma was found in the left eye. At presentation, the best corrected visual acuity (BCVA) was 30/20 in her left eye. At 9 years after the first visit, MA-like lesion was noted in the macular area. After that, vitreous and subretinal hemorrhage appeared in the left eye. The patient underwent simultaneous vitrectomy and cataract surgery, but vitreous re-hemorrhage occurred two days after the operation. To avoid re-hemorrhage, silicone oil (SO) tamponade was added in the second vitrectomy. Two years after the second operation, SO was removed and postoperative BCVA in the left eye was 20/200 without re-bleeding in the vitreous.

Conclusions and importance: Although retinal hemorrhages have been reported in the patients with a racemose hemangioma, in our case the macular MA rupture occurred at 9 years after the first visit. Congenital retinal arteriovenous anastomosis can show a change in vascular shape in some cases, thus it is important to observe carefully.

Keywords: Macroaneurysm; Optical coherence tomography angiography; Racemose hemangioma; Silicone oil; Vitrectomy; Vitreous hemorrhage.

Publication types

Case Reports