Spontaneous resolution of macular edema in Leber's miliary aneurysms

The natural history of Leber's miliary aneurysms is described. A patient with Leber's miliary aneurysm presented with count fingers visual acuity due to significant lipid exudates, intraretinal hemorrhages, and macular edema. Over the next 3 months, the macular edema resolved spontaneously and the visual acuity improved to 20/20. The dramatic improvement in both macular edema and visual acuity highlights the importance of conservative management before pursuing more invasive treatments.