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This paper proposes a multimodal approach for vessel segmentation of macular optical coherence tomography (OCT) slices along with the fundus image. The method is comprised of two separate stages; the first step is 2-D segmentation of blood vessels in curvelet domain, enhanced by taking advantage of vessel information in crossing OCT slices (named feedback procedure), and improved by suppressing the false positives around the optic nerve head. The proposed method for vessel localization of OCT slices is also enhanced utilizing the fact that retinal nerve fiber layer becomes thicker in the presence of the blood vessels. The second stage of this method is axial localization of the vessels in OCT slices and 3-D reconstruction of the blood vessels. Twenty-four macular spectral 3-D OCT scans of 16 normal subjects were acquired using a Heidelberg HRA OCT scanner. Each dataset consisted of a scanning laser ophthalmoscopy (SLO) image and limited number of OCT scans with size of 496 × 512 (namely, for a data with 19 selected OCT slices, the whole data size was 496 × 512 × 19). The method is developed with least complicated algorithms and the results show considerable improvement in accuracy of vessel segmentation over similar methods to produce a local accuracy of 0.9632 in area of SLO, covered with OCT slices, and the overall accuracy of 0.9467 in the whole SLO image. The results are also demonstrative of a direct relation between the overall accuracy and percentage of SLO coverage by OCT slices.