Surgical removal of subfoveal neovascularization in idiopathic juxtafoveolar retinal telangiectasis

Retina. 1997;17(2):94-8. doi: 10.1097/00006982-199703000-00002.

Abstract

Purpose: To investigate the efficacy of the surgical removal of subfoveal choroidal neovascularization in patients with type 2A idiopathic juxtafoveolar retinal telangiectasis.

Methods: Two patients with bilateral acquired idiopathic juxtafoveolar retinal telangiectasis and a subfoveal choroidal neovascular membrane underwent surgical excision of the membrane using standard subretinal surgical techniques.

Results: In both cases, surgical removal of the neovascular membrane was complicated by an intimate adherence of the membrane with the overlying neurosensory retina in an area of retinochoroidal anastomosis. A retinal dehiscence occurred in both instances at the time of surgery. Postoperative visual outcome was poor.

Conclusion: The retinochoroidal anastomoses often visualized in cases of subretinal neovascularization complicating bilateral acquired IJFRT could indicate that there is a fairly marked adherence of the neovascular membrane to the neurosensory retina. Attempts at surgical removal of subretinal membranes in this disease entity with current techniques may be contraindicated.

Publication types

  • Case Reports

MeSH terms

  • Choroid / blood supply*
  • Choroid / pathology
  • Choroid / surgery
  • Female
  • Fluorescein Angiography
  • Fovea Centralis*
  • Fundus Oculi
  • Humans
  • Middle Aged
  • Neovascularization, Pathologic / diagnosis
  • Neovascularization, Pathologic / physiopathology
  • Neovascularization, Pathologic / surgery*
  • Retinal Diseases / complications*
  • Retinal Diseases / diagnosis
  • Retinal Diseases / surgery
  • Retinal Vessels / pathology
  • Telangiectasis / complications*
  • Telangiectasis / diagnosis
  • Telangiectasis / surgery
  • Visual Acuity
  • Vitrectomy