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Successful Feeder Vessel Laser Treatment of Recurrent Neovascularization Following Subfoveal Surgery

Nancy S. Melberg, MD; Matthew A. Thomas, MD
Arch Ophthalmol. 1996;114(2):224-226. doi:10.1001/archopht.1996.01100130218024.
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Feeder vessel photocoagulation has been described as a treatment technique for various forms of abnormal new vessel growth.1-3 To our knowledge, successful laser photocoagulation of a feeder vessel supplying subfoveal neovascularization has not been reported.

We describe a patient with the presumed ocular histoplasmosis syndrome who experienced recurrent subfoveal neovascularization following the surgical removal of a subfoveal choroidal neovascular membrane. Laser photocoagulation of the feeder vessels supplying the subfoveal recurrence resulted in involution of the membrane and improvement in visual acuity.

Report of a Case.  A 47-year-old woman with the ocular histoplasmosis syndrome was seen for decreased visual acuity in the right eye due to recurrent subretinal neovascularization following two laser treatments.Visual acuity was 20/60 OD and 20/400 OS. Posteriorly in the right macula there were two laser scars: one inferior and one superior to the fovea. Recurrent neovascularization extended from the edge of the inferior scar through

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