Laser Treatment for Retinal Arterial Macroaneurysm
Retinal arterial macroaneurysm (RAM) can be defined as an acquired round or fusiform dilation of a retinal artery. RAMs frequently remain stable but, in some cases, can complicate with macular exudation or hemorrhage, resulting in symptomatic disease. While a watch-and-wait approach is the standard...
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MDPI AG
2022-11-01
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| Series: | Photonics |
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| Online Access: | https://www.mdpi.com/2304-6732/9/11/851 |
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| author | Lorenzo Bianco Maciej Gawęcki Alessio Antropoli Alessandro Arrigo Francesco Bandello Maurizio Battaglia Parodi |
| author_facet | Lorenzo Bianco Maciej Gawęcki Alessio Antropoli Alessandro Arrigo Francesco Bandello Maurizio Battaglia Parodi |
| author_sort | Lorenzo Bianco |
| collection | DOAJ |
| description | Retinal arterial macroaneurysm (RAM) can be defined as an acquired round or fusiform dilation of a retinal artery. RAMs frequently remain stable but, in some cases, can complicate with macular exudation or hemorrhage, resulting in symptomatic disease. While a watch-and-wait approach is the standard option in asymptomatic RAMs, there is no universal agreement regarding treatment of symptomatic cases and randomized clinical trials are warranted. Anti-VEGF intravitreal injections can reduce exudation, albeit multiple treatments may be necessary. Hence, laser treatment may be a better choice to provide a durable control of symptoms while anti-VEGF therapy should be preferred for lesions adjacent to the fovea. Indirect laser is recommended because there is a decreased danger of RAM rupture and hemorrhage. Furthermore, subthreshold laser seems to be comparable to conventional laser in terms of efficacy outcomes. |
| first_indexed | 2024-03-09T18:03:54Z |
| format | Article |
| id | doaj.art-4fdc2acdc7b0497383a3fe8781e9040a |
| institution | Directory Open Access Journal |
| issn | 2304-6732 |
| language | English |
| last_indexed | 2024-03-09T18:03:54Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Photonics |
| spelling | doaj.art-4fdc2acdc7b0497383a3fe8781e9040a2023-11-24T09:37:37ZengMDPI AGPhotonics2304-67322022-11-0191185110.3390/photonics9110851Laser Treatment for Retinal Arterial MacroaneurysmLorenzo Bianco0Maciej Gawęcki1Alessio Antropoli2Alessandro Arrigo3Francesco Bandello4Maurizio Battaglia Parodi5Department of Ophthalmology, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132 Milan, ItalyDobry Wzrok Ophthalmological Clinic, 80-822 Gdansk, PolandDepartment of Ophthalmology, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132 Milan, ItalyDepartment of Ophthalmology, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132 Milan, ItalyDepartment of Ophthalmology, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132 Milan, ItalyDepartment of Ophthalmology, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132 Milan, ItalyRetinal arterial macroaneurysm (RAM) can be defined as an acquired round or fusiform dilation of a retinal artery. RAMs frequently remain stable but, in some cases, can complicate with macular exudation or hemorrhage, resulting in symptomatic disease. While a watch-and-wait approach is the standard option in asymptomatic RAMs, there is no universal agreement regarding treatment of symptomatic cases and randomized clinical trials are warranted. Anti-VEGF intravitreal injections can reduce exudation, albeit multiple treatments may be necessary. Hence, laser treatment may be a better choice to provide a durable control of symptoms while anti-VEGF therapy should be preferred for lesions adjacent to the fovea. Indirect laser is recommended because there is a decreased danger of RAM rupture and hemorrhage. Furthermore, subthreshold laser seems to be comparable to conventional laser in terms of efficacy outcomes.https://www.mdpi.com/2304-6732/9/11/851retinal arterial macroaneurysmRAMlasersubthreshold lasermicropulse laser |
| spellingShingle | Lorenzo Bianco Maciej Gawęcki Alessio Antropoli Alessandro Arrigo Francesco Bandello Maurizio Battaglia Parodi Laser Treatment for Retinal Arterial Macroaneurysm Photonics retinal arterial macroaneurysm RAM laser subthreshold laser micropulse laser |
| title | Laser Treatment for Retinal Arterial Macroaneurysm |
| title_full | Laser Treatment for Retinal Arterial Macroaneurysm |
| title_fullStr | Laser Treatment for Retinal Arterial Macroaneurysm |
| title_full_unstemmed | Laser Treatment for Retinal Arterial Macroaneurysm |
| title_short | Laser Treatment for Retinal Arterial Macroaneurysm |
| title_sort | laser treatment for retinal arterial macroaneurysm |
| topic | retinal arterial macroaneurysm RAM laser subthreshold laser micropulse laser |
| url | https://www.mdpi.com/2304-6732/9/11/851 |
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