title: Foveal Exudative Macroaneurysm Treated with Intravitreal Ranibizumab.
abstract: OBJECTIVE
  We report a case of a foveal macroaneurysm with long-standing macular edema in a rare location, successfully treated with intravitreal ranibizumab.
  
  
  METHODS
  We report the case of a 52-year-old man with left eye long-term visual loss due to macular edema caused by a retinal macroaneurysm, localized about 400 μm from the center of the fovea, and its response to 6 monthly ranibizumab intravitreal injections. His best-corrected visual acuity and morphological data evaluated by optical coherence tomography and fluorescein angiography are presented.
  
  
  RESULTS
  His best-corrected visual acuity improved from 1/10 to 3/10 after the 3rd injection, and from 1/10 to 4/10 after the 6th one. The central retinal thickness was evaluated by optical coherence tomography and improved from 310 to 233 μm, with the resolution of both the associated serous detachments and the cystoid macular edema; an almost complete reabsorption of the hard exudates at the end of the treatment was also observed. The macroaneurysm lumen almost obliterated after the 3rd injection and completely collapsed at the end of treatment.
  
  
  CONCLUSIONS
  Intravitreal ranibizumab may be effective in the treatment of long-standing macular edema associated with foveal macroaneurysms. To the best of our knowledge, this is the first report of a retinal macroaneurysm located so close to the foveal avascular zone.
authors.affiliation: Department of Ophthalmology, Pedro Hispano Hospital, Matosinhos, Portugal.
authors.forename: Carlos
authors.initials: C
authors.lastname: Menezes
authors.affiliation: Department of Ophthalmology, Pedro Hispano Hospital, Matosinhos, Portugal.
authors.forename: Rui
authors.initials: R
authors.lastname: Carvalho
authors.affiliation: Department of Ophthalmology, Pedro Hispano Hospital, Matosinhos, Portugal.
authors.forename: Carla
authors.initials: C
authors.lastname: Teixeira
authors.affiliation: Department of Ophthalmology, Pedro Hispano Hospital, Matosinhos, Portugal.
authors.forename: José Alberto
authors.initials: JA
authors.lastname: Lemos
authors.affiliation: Department of Ophthalmology, Pedro Hispano Hospital, Matosinhos, Portugal.
authors.forename: Rita
authors.initials: R
authors.lastname: Gonçalves
authors.affiliation: Department of Ophthalmology, Pedro Hispano Hospital, Matosinhos, Portugal.
authors.forename: Pedro
authors.initials: P
authors.lastname: Coelho
authors.affiliation: Department of Ophthalmology, Pedro Hispano Hospital, Matosinhos, Portugal.
authors.forename: André
authors.initials: A
authors.lastname: Lima
keywords: Exudative retinal macroaneurysm; Fovea; Intravitreal ranibizumab