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Comparative Study
, 25 (4), 225-30

Clinical Features of Idiopathic Juxtafoveal Telangiectasis in Koreans

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Comparative Study

Clinical Features of Idiopathic Juxtafoveal Telangiectasis in Koreans

Seung Woo Lee et al. Korean J Ophthalmol.

Abstract

Purpose: To describe the clinical characteristics of idiopathic juxtafoveal telangiectasis (IJT) in Koreans.

Methods: Medical records of 16 patients with IJT were analyzed during the period from 1997 to 2009. Diagnosis was based on biomicrosopic and fluorescein angiographic findings and the group was determined according to the Gass and Blodi classification.

Results: We analyzed eight patients in group 1A (50%), two in group 1B (12.5%), and six in group 2A (37.5%). Diverse treatment modalities, such as macular laser photocoagulation, photodynamic therapy, intravitreal antiangiogenic agent, and steroid injection, were applied for macular edema in nine eyes; however, only two eyes showed visual improvement.

Conclusions: In this case series, group 1A was the most common. For macular edema related to IJT, current treatment strategies had no consistent effect.

Keywords: Idiopathic Juxtafoveal Retinal Telangiectasia; Intravitreal Injection; Macular edema; Photochemotherapy.

Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Group 1A idiopathic juxtafoveal retinal telangiectasis (case 12). (A) Color fundus photography of the left eye on presentation showed a lipid exudate with aneurysm-like capillaries in its center. (B) Fluorescein angiography of the left eye on presentation showed telangiectasis and microaneurysm. (C) Optical coherence tomography of the left eye on presentation indicates macular edema with foveolar detachment. (D) Macular edema showed no improvement 3 months after a repeat intravitreal bevacizumab treatment and focal laser photocoagulation.
Fig. 2
Fig. 2
Group 1B idiopathic juxtafoveal retinal telangiectasis (case 6). (A) Color fundus photography of the right eye on presentation. (B) Fluorescein angiography of the right eye on presentation showed focal juxtafoveal telangiectasis. (C) Optical coherence tomography of the right eye on presentation. Images demonstrated a foveal cystoid and intraretinal edema. (D) The macular edema resolved after photodynamic treatment.
Fig. 3
Fig. 3
Group 2A idiopathic juxtafoveal retinal telangiectasis (case 10) (A,B) Color fundus photography of both eyes on presentation showed slight graying of the perifoveal retina and lipid exudates in the right eye. (C,D) Fluorescein angiography of both eyes on presentation showed telangiectatic change in the temporal macular lesion.

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References

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