Dr. Sonali

Dr. DIVYANSH MISHRA, Dr. MAHESH P. SHANMUGAM

Abstract

Here we describe two cases of radiation retinopathy(RR) presenting with clinical and imaging characteristics of retinal artery macroaneurysm(RAM).First case had radiotherapy to right side of brain 17 years back developed vitreous hemorrhage secondary to RAM in right eye(RE) was managed with intravitreal antiVEGF. Second case had radiotherapy to right side of neck 6 years back, developed multiple tributary vein occlusion in RE was treated with sectoral laser. One year later, developed premacular and subretinal hemorrhage with RAM and managed with pars plana vitrectomy(PPV) and antiVEGF. On follow-up persistent cystoid macular edema(CME) managed with Intravitreal triamcinolone acetonide(IVTA) and focal laser to RAM.

In our cases, patients with history of radiotherapy, clinical and imaging characteristics, rendered RAM secondary to radiation a likely diagnosis. RAM as sequel of radiotherapy and its management is not been reported before in literature