Indirect laser treatment and anti-VEGF therapy of a retinal angioma, with resolution of a large serous retinal detachment, macular exudates, and macular edema.

PURPOSE: To report on a novel treatment strategy in an eye with a retinal angioma and macular edema

METHODS

Wide-angle angiography was used to characterize the lesion and response to theraphy, while the treatment combined laser photocoagulation with the indirect laser delivery system, and intravitreal injections of pegaptanib and bevacizumab. Treatment was rendered over 21 months' time.

RESULTS

The treatment resulted in graduate resolution of marked macular edema and exudation, with a gain in visual acuity.

CONCLUSION

A combination of laser photocoagulation and anti-VEGF theraphy can be effective in the treatment of macular exudation and edema from a retinal angioma.