This case report describes the treatment of a capillary angioma involv
ing the temporal aspect of the optic disc by photocoagulation therapy.
It chronicles the effect of creating a retinal-choroidal adhesion at
the temporal margin of the lesion in reducing exudation from the angio
ma spreading to involve the macula. The patient in question has been f
ollowed for sixteen years and vision in this eye has been maintained a
t 6/6 following the course of therapy described. Our experience sugges
ts that direct laser treatment to capillary angiomas of the optic disc
combined with photocoagulation barrier protection of the macula is be
neficial and should be considered early when the lesion is relatively
small.