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- Title
Swept source optical coherence tomography angiography of a case of retinal artery macro-aneurysm before and after combined laser and intra-vitreal ranibizumab treatment.
- Authors
Brar, Manpreet; Grewal, Satinder; Grewal, Dilraj; Sharma, Mansi; Dogra, Mangat; Grewal, Satinder Pal Singh; Grewal, Dilraj S; Dogra, Mangat R
- Abstract
Keywords: Fundus fluoroscein angiography (FFA); optical coherence tomography angiography (OCTA); retinal artery macro-aneurysms (RAMs) EN Fundus fluoroscein angiography (FFA) optical coherence tomography angiography (OCTA) retinal artery macro-aneurysms (RAMs) 2710 2712 3 07/15/22 20220701 NES 220701 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. Such a lesion demonstrated partial regression following ranibizumab injections; however, laser treatment resulted in permanent thrombosis of RAM as seen on SS-OCTA at 6-month follow-up.
- Publication
Indian Journal of Ophthalmology, 2022, Vol 70, Issue 7, p2710
- ISSN
0301-4738
- Publication type
journal article
- DOI
10.4103/ijo.IJO_160_22