Swept source optical coherence tomography angiography of a case of retinal artery macro-aneurysm before and after combined laser and intra-vitreal ranibizumab treatment

Intra‐vitreal anti‐vascular endothelial growth factor (anti‐VEGF) injections have emerged as a useful treatment modality in patients with retinal artery macroaneurysms (RAMs).[1] There are a few case reports suggesting that the combined use of focal laser and anti‐VEGF agents could better reduce macular exudation caused by RAM,[2] and Lewis et al. have also reported that direct laser of the RAM lesion and the surrounding area of exudation may decrease the flow and intra‐luminal pressure.[3] However, this therapy can be associated with the risk of vascular occlusion, scotomas, and macular pucker.[4] We describe swept source optical coherence tomography (OCT) angiography (SS‐OCTA) results before and after successful treatment of RAM lesions by combined treatment of intra‐vitreal ranibizumab and laser photo‐coagulation.