Spontaneously resolved macroaneurysm associated with a congenital anomalous retinal artery

To report the outcome of retinal artery macroaneurysm associated with a congenital anomalous retinal artery.

The patient was examined with ophthalmoscopy and fluorescein angiography.

A 60-year-old woman presented with visual acuity of 20/80 in her right eye. She was found to have an abnormal retinal vessel emerging from the optic disk, passing toward the center of the macula, and looping back toward the disk. The center of the loop had a leaking macroaneurysm, which was treated conservatively. At the 4-month follow-up visit, the visual acuity in the right eye had improved to 20/20 with resolution of most of the macular edema, exudates, and hemorrhage.

This case demonstrates that retinal artery macroaneurysm can be successfully managed with a conservative approach, even when associated with a congenital anomalous retinal vessel.