How to treat retinal aneurysm?

summary

The central retinal artery is a small artery except the main one. This disease is called large aneurysm, which means that the tumor occurs in the larger branch of grade 2 and 3 of the central retinal artery. It is different from diabetic retinopathy and central retinal vein occlusion. Let's share how to treat retinal aneurysm?.

How to treat retinal aneurysm?

First, it can be used to treat macular edema; Or along the retina outside the aneurysm, but attention should be paid to avoid thrombosis of the artery branch supplying the macula. Vitrectomy is necessary for vitreous hemorrhage.

Second: the current more recognized treatment for large aneurysms with vitreous hemorrhage is to observe for several months, waiting for its spontaneous absorption. For exudative large aneurysms that affect the macula, photocoagulation should be performed, or direct photocoagulation should be performed on or around the hemangioma.

Third: argon laser photocoagulation can be considered, argon laser photocoagulation is better than hemangioma, can use 500um light spot, because the light spot is too small can cause hemangioma perforation, leading to vitreous hemorrhage, time in 0.2 ~ 0.15 seconds. Start with low or medium intensity, such as hemangioma is not occluded, gradually increase energy. The purpose is to occlude hemangioma and dilated capillary bed around hemangioma.

matters needing attention

1. Most of the patients are over 60 years old with hypertension and arteriosclerosis, and the female is more than the male. Most of them suffered from monocular injuries. 2. In the natural course of the disease, there are no serious consequences, which can be followed up frequently. If there are no complications such as bleeding, there is no need to treat. 3. The patients with macular involvement (especially fovea) have a poor prognosis.