Angioid streaks also called Knapp striae are small breaks in the Bruch's membrane and have been reported with a host of systemic diseases. Rupture of streaks or development of secondary choroidal neovascular membrane (CNVM) carries a dismal visual prognosis. We report the result treatment of CNVM secondary to angioid streaks with combination treatment of photodynamic therapy (PDT) and intravitreal ranibizumab.