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Optical coherence tomography findings in idiopathic juxtafoveal retinal telangiectasis

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Abstract

Purpose

To describe optical coherence tomography (OCT) findings in patients with juxtafoveal retinal telangiectasis (JRT).

Methods

Fourteen consecutive patients (28 eyes) with JRT (12 patients with JRT type II, one with JRT type I and one with JRT type III) were examined using fluorescein angiography (FA) and OCT.

Results

Despite prominent leakage in FA, macular oedema was absent in all 26 eyes with type II JRT. In contrast to that, in patients with type I and type III JRT, cystoid macular oedema was evident. In 14 of 28 eyes (all with type II JRT), a single foveal cyst was found in OCT. It varied significantly in size and was associated with visual acuity decrease. An intraretinal hyperreflective lesion was seen in eight of 28 eyes and flattening of the fovea in three eyes.

Conclusions

Foveal cyst, absent macular oedema, intraretinal hyperreflective lesions and foveal flattening were the most common OCT findings in patients with JRT type II. These may represent progressive loss of retinal tissue, possibly due to Müller cells degeneration, and provide additional diagnostic criteria for JRT.

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References

  1. Davidorf FH, Pressman MD, Chambers RB (2003) Juxtafoveal telangiectasis—a name changes? Retina 24(3):474–478

    Article  Google Scholar 

  2. Fekrat S, Siddiqui N (2005) Group 2A idiopathic juxtafoveolar retinal telangiectasia in monozygotic twins. Am J Ophthalmol 139(3):568–570

    Article  PubMed  Google Scholar 

  3. Gass JDM (1968) A fluorescein angiographic study of macular dysfunction secondary to retinal vascular disease. V. Retinal telangiectasis. Arch Ophthalmol 80(5):592–605

    PubMed  CAS  Google Scholar 

  4. Gass JDM, Oyakawa RT (1982) Idiopathic juxtafoveolar retinal telangiectasis. Arch Ophthalmol 100(5):769–780

    PubMed  CAS  Google Scholar 

  5. Gass JDM, Blodi BA (1993) Idiopathic juxtafoveolar retinal telangiectasis. Update of classification and follow-up study. Ophthalmology 100(10):1536–1546

    PubMed  CAS  Google Scholar 

  6. Gass JDM (1987) Stereoscopic atlas of macular diseases: diagnosis and treatment, 3rd edn. CV Mosby, St. Louis, Missouri, pp 410–411

    Google Scholar 

  7. Green WR, Quigley HT, de la Cruz Z, Cohen B (1980) Parafoveal retinal telangiectasis. Light and electron microscopy studies. Trans Ophthalmol Soc UK 100(Pt 1):162–170

    PubMed  CAS  Google Scholar 

  8. Green WR (1996) Retina. In: Spencer WH (ed) Ophthalmic pathology: an atlas and textbook. WB Saunders, Philadelphia, Pennsylvania, pp 910–919

    Google Scholar 

  9. Menchini U, Virgili G, Bandello F, Malara C, Rapizzi E, Lanzetta P (2000) Bilateral juxtafoveolar telangiectasis in monozygotic twins. Am J Ophthalmol 129(3):401–403

    Article  PubMed  CAS  Google Scholar 

  10. Trabucchi G, Brancato R, Pierro L, Introini U (1999) Idiopathic juxtafoveolar retinal telangiectasis and pigment epithelial hyperplasia: an optical coherence tomographic study. Arch Ophthalmol 117(3):405–406

    PubMed  CAS  Google Scholar 

  11. Paunescu LA, Ko TH, Duker JS, Chan A, Drexler W, Schuman JS, Fujimoto JG (2006) Idiopathic juxtafoveal retinal telangiectasis: new findings by ultrahigh-resolution optical coherence tomography. Ophthalmology 113(1):48–57

    Article  PubMed  Google Scholar 

  12. Yamada E (1969) Some structural features of the fovea centralis in the human retina. Arch Ophthalmol 82(2):151–159

    PubMed  CAS  Google Scholar 

Download references

Acknowledgement

This study was supported by Bayerische Forschungsstiftung as a scholarship provided to V. Surguch.

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Correspondence to Vladimir Surguch.

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Surguch, V., Gamulescu, MA. & Gabel, VP. Optical coherence tomography findings in idiopathic juxtafoveal retinal telangiectasis. Graefe's Arch Clin Exp Ophthalmol 245, 783–788 (2007). https://doi.org/10.1007/s00417-006-0432-1

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  • DOI: https://doi.org/10.1007/s00417-006-0432-1

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