Successful Feeder Vessel Laser Treatment of Recurrent Neovascularization Following Subfoveal Surgery

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Abstract
Feeder vessel photocoagulation has been described as a treatment technique for various forms of abnormal new vessel growth.1-3To 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