Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2023, Vol. 37 ›› Issue (2): 67-70.doi: 10.6040/j.issn.1673-3770.0.2021.521

• 论著 • Previous Articles    

Isolated congenital retinal arteriovenous malformation with vitreous hemorrhage and sub-inner limiting membrane hemorrhage:a case report and literature review

CHAI Lina, LEI Chunyan, GAO Sheng, ZHANG Meixia   

  1. Department of Ophthalmology, West China Hospital of Sichuan University, Chengdu 610000, Sichuan, China
  • Published:2023-03-30

Abstract: Objective To describe an uncommon case of vitreous hemorrhage and sub-inner limiting membrane hemorrhage(sub-ILM)in isolated congenital retinal arteriovenous malformation. Methods A 19-year-old patient with a 2-day history of sudden painless vision loss in her left eye and underwent comprehensive ophthalmic examinations. Based on medical history and multimodal imaging, she was clinically diagnosed to have isolated congenital retinal arteriovenous malformation and Valsalva retinopathy. She was then observed and advised for follow up. Results After 3 years of follow-up, the patient's left eye was stable, with an improved best corrected visual acuity of 1.0. Conclusion Congenital retinal arteriovenous malformation is a relatively stable condition that requires long-term follow-up. Moreover, it may also be one of the risk factors of Valsalva retinopathy. Once complications are found, appropriate treatments should be provided to avoid serious consequences. Multimodal imaging provides clinicians with more comprehensive information, which is helpful in the diagnosis, treatment, and follow-up of retinal arteriovenous malformations.

Key words: Congenital retinal arteriovenous malformation, Retinal racemose hemangioma, Valsalva retinopathy, Complications, Multimodal imaging

CLC Number: 

  • R774.1
[1] 张轶, 张美霞, 陈大年, 等. 建议将“视网膜蔓状血管瘤”更名为“先天性视网膜动静脉畸形”[J]. 中华眼底病杂志, 2014, 30(5): 516-517. doi:10.3760/cma.j.issn.1005-1015.2014.05.022
[2] Archer DB, Deutman A, Ernest JT, et al. Arteriovenous communications of the Retina[J]. Am J Ophthalmol, 1973, 75(2): 224-241. doi:10.1016/0002-9394(73)91018-0
[3] Federici T, Batlle I. Periocular triamcinolone acetonide as treatment for macular edema secondary to branch vein occlusion associated with retinal arteriovenous malformation[J]. Retina, 2006, 26(9): 1079-1080. doi:10.1097/01.iae.0000254887.63519.d8
[4] Abroug N, Zina S, Ksiaa I, et al. Central retinal vein occlusion complicating retinal arteriovenous malformation[J]. J Fr Ophtalmol, 2021, 44(9): 1476-1478. doi:10.1016/j.jfo.2021.01.007
[5] Accou GPBM, Nerinckx F, Leroy BP, et al. Vitreous hemorrhage as presenting sign of retinal arteriovenous malformation[J]. Case Rep Ophthalmol Med, 2020, 2020: 8858242. doi:10.1155/2020/8858242
[6] Vedantham V, Agrawal D, Ramasamy K. Premacular haemorrhage associated with arteriovenous communications of the Retina induced by a Valsalva-like mechanism: an observational case report[J]. Indian J Ophthalmol, 2005, 53(2): 128-130. doi:10.4103/0301-4738.16179
[7] Winter E, Elsås T, Austeng D. Anti-VEGF treating macular oedema caused by retinal arteriovenous malformation- a case report[J]. Acta Ophthalmol, 2014, 92(2): 192-193. doi:10.1111/aos.12019
[8] Monan R, Fazal R. Periocular steroids for macular edema associated with retinal arteriovenous malformation: a case report[J]. Indian J Ophthalmol, 2020, 68(10): 2298. doi:10.4103/ijo.ijo_293_20
[9] de JPT. Neovascular glaucoma and the occurrence of twin vessels in congenital arteriovenous communications of the Retina[J]. Doc Ophthalmol, 1988, 68(3/4): 205-212. doi:10.1007/BF00156427
[10] Szelog JT, Lally DR, Heier JS. Natural history of Valsalva-induced subhyaloid hemorrhage[J]. JAMA Ophthalmol, 2015, 133(2): e143268. doi:10.1001/jamaophthalmol.2014.3268
[11] Magnus H. Aneurysma arterioso-venosum retinale[J]. Archiv F Pathol Anat, 1874, 60(1): 38-45. doi:10.1007/bf01938766
[12] Mansour AM, Wells CG, Jampol LM, et al. Ocular complications of arteriovenous communications of the Retina[J]. Arch Ophthalmol, 1989, 107(2): 232-236. doi:10.1001/archopht.1989.01070010238029
[13] Kolomeyer AM, Laviolette R, Winter TW. Wyburn-mason syndrome[J]. Ophthalmology, 2016, 123(1): 50. doi:10.1016/j.ophtha.2015.10.033
[14] Bhojwani D, Vachhrajani M, Vasavada A. Wyburn mason syndrome: a rare phacomatosis[J]. Ophthalmology, 2016, 123(8): 1787. doi:10.1016/j.ophtha.2016.04.053
[15] Ouédraogo M, Lorette G, Morel B, et al. Long-term follow-up of intracranial arteriovenous malformations with frontal capillary malformation(Wyburn-Mason syndrome or Bonnet-Dechaume-Blanc syndrome): three case reports[J]. Int J Dermatol, 2020, 59(8): e276-e278. doi:10.1111/ijd.14947
[16] Prager AJ, Jampol LM, Ip MS. Diagnostic and therapeutic challenges[J]. Retina, 2019, 41(3): 665-667. doi:10.1097/iae.0000000000002737
[17] le Rouic JF, Brejtfus-Thomas J. Progressively growing arteriovenous malformation[J]. Ophthalmic Surg Lasers Imaging Retina, 2018, 49(12): e284-e286. doi:10.3928/23258160-20181203-20
[18] 王娟, 周善璧. 视网膜蔓状血管瘤的诊断及治疗[J]. 中国实用眼科杂志, 2017, 35(3): 227-229. doi:10.3760/cma.j.issn.1006-4443.2017.03.001
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