Retinal tear located beneath the detached internal limiting membrane associated with ruptured macroaneurysm.

BACKGROUND: Rupture of retinal arterial macroaneurysm has a variety of fundus features. We report a case of ruptured retinal arterial macroaneurysm appearing concomitantly with a retinal tear located beneath the detached internal limiting membrane (ILM) that was apparent during vitrectomy. METHODS: Vitrectomy with ILM peeling was performed on a 50-year-old man for sub-ILM hemorrhage and subretinal hemorrhage caused by ruptured macroaneurysm. RESULTS: After ILM peeling, a retinal tear was found within the detached ILM. The sub-retinal hemorrhage was aspirated from the retinal tear. The retina was finally reattached. CONCLUSIONS: Extensive sub-ILM hemorrhage may cause retinal tear. Careful intraoperative examination and treatment are needed.