Subretinal leakage of a retinal capillary macroaneurysm - a case report

Ahmad S. Rehmani, Touka Banaee, Fuad Makkouk

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Background: Report a rare case of retinal capillary macroaneurysm with associated subretinal fluid. Case presentation: A 71-year-old male underwent full ophthalmic examination including Optical Coherence Tomography (OCT), Fluorescein Angiography (FA). Fundus examination showed moderate non-proliferative diabetic retinopathy of both eyes with scattered microaneurysms. On initial visit, FA displayed a hyperfluorescent lesion with leakage on late frames in the left eye. OCT revealed the lesion to be spheroid with a hyperreflective wall and hyporeflective lumen in the inner retina, corresponding to a capillary macroaneurysm. Intraretinal cystic fluid surrounded the lesion. On subsequent visit 7 months later, subretinal fluid in the location of the capillary macroaneurysm was noted on OCT. Vision was maintained at 20/30–2 OD, 20/40 OS throughout. No treatment was necessary. Conclusion: Subretinal fluid from the capillary macroaneurysm likely developed from its juxtafoveal location and discontinuity of the external limiting membrane (ELM); a barrier preventing flow of intraretinal fluid to the outer retina.

Original languageEnglish (US)
Article number221
JournalBMC Ophthalmology
Issue number1
StatePublished - Dec 2021


  • Capillary macroaneurysm
  • Case report
  • External limiting membrane

ASJC Scopus subject areas

  • Ophthalmology


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