Wide-Field Imaging of Retinal Vascular Macroaneurysm Associated With Retinal Racemose Hemangioma.

PURPOSE: The purpose of this study is to describe a case of exudative retinal vascular macroaneurysm (RVM) associated with retinal racemose hemangioma (RRH).

METHODS

The study design is an observational case report.

RESULTS

A 40-year-old woman presented with visual field defects in her right eye. Fundus examination revealed exudative RVM in combination with RRH. Subsequently, subretinal hemorrhage extended toward the macula, and her best-corrected visual acuity declined to 20/63. Treatment consisted of intravitreal bevacizumab injections and retinal photocoagulation for the RVM. This approach led to resolution of the RVM, confirmed by OCTA. Eight months after photocoagulation, her best-corrected visual acuity improved to 20/20.

CONCLUSION

This case demonstrates the effectiveness of combined intravitreal bevacizumab injections and retinal photocoagulation for treating RVM. The resolution of the RVM was confirmed by OCTA. Wide-field OCTA is indispensable for evaluating the extent of arteriovenous malformations and for tracking post-treatment changes and complications. Considering the potential for recurrence of RVM associated with RRH, careful and ongoing follow-up is necessary.