Leber’s Miliary Aneurysms in a 63-Year-Old Woman: Concurrence of Regression and Active Lesions (With 1 color plate)

Abstract

We examined a 63-year-old woman with retinal telangiectasia, aneurysms, a ring of fatty exudate, and pigmented chorioretinal atrophic lesions in the right eye. Leber’s miliary aneurysm was diagnosed, although this disorder is known to have a high incidence mainly in young boys. The pigmented chorioretinal scars appear to be sequelae of spontaneously regressing retinal lesions.

Aneurisma miliar de Leber associado à síndrome de tração vítreomacular: relato de caso

“…A síndrome de tração vítreomacular é a condição em que mudanças do corpo vítreo provocam um descolamento posterior e incompleto deste, com persistência de adesões na região macular (9) . A maioria das trações vítreomaculares causa distorção na região e quando não ocorre descolamento espontâneo e completo do vítreo, evolui com a formação de uma membrana epirretiniana e subseqüente edema macular cistóide (10) .…”

Longitudinal characterization and treatment response of retinal arterial macroaneurysms in adult-onset coats disease

“… 8 , 9 While spontaneous regression of aneurysms in Coats disease has been reported, treatment frequently focuses on resolving exudation and preventing disease progression by ablating the abnormal macroaneurysms. 3 , 10 , 11 Laser photocoagulation, cryotherapy, intravitreal anti-vascular endothelial growth factor (anti-VEGF), drainage of subretinal fluid, and vitrectomy have been used in the treatment of Coats disease. 3 , 5 , 12 If left untreated, Coats disease can lead to secondary glaucoma and total retinal detachment.…”