High-Resolution Imaging in Macular Telangiectasia Type 2: Case Series and Literature Review.

Autor: Mirescu AE; Department of Ophthalmology, 'Ovidius' University of Medicine, 900470 Constanța, Romania., Balta F; Department of Ophthalmology, 'Carol Davila' University of Medicine and Pharmacy, 050747 Bucharest, Romania.; Academy of Romanian Scientists, 030167 Bucharest, Romania.; Retina Clinic, 014142 Bucharest, Romania.; Clinical Emergency Eye Hospital, 030167 Bucharest, Romania., Barac R; Department of Ophthalmology, 'Carol Davila' University of Medicine and Pharmacy, 050747 Bucharest, Romania.; Retina Clinic, 014142 Bucharest, Romania.; Clinical Emergency Eye Hospital, 030167 Bucharest, Romania., Deleanu DG; Department of Ophthalmology, 'Carol Davila' University of Medicine and Pharmacy, 050747 Bucharest, Romania.; Department of Ophthalmology, University Emergency Hospital, 050098 Bucharest, Romania., Tofolean IT; Retina Clinic, 014142 Bucharest, Romania.; Clinical Emergency Eye Hospital, 030167 Bucharest, Romania.; Department of Biophysics, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 050747 Bucharest, Romania., Balta G; Clinical Emergency Eye Hospital, 030167 Bucharest, Romania., Cojanu R; Clinical Emergency Eye Hospital, 030167 Bucharest, Romania., Jurja S; Department of Ophthalmology, 'Ovidius' University of Medicine, 900470 Constanța, Romania.; Department of Ophthalmology, County Clinical Emergency Hospital of Constanta, 900591 Constanta, Romania.
Jazyk: angličtina
Zdroj: Diagnostics (Basel, Switzerland) [Diagnostics (Basel)] 2024 Jun 25; Vol. 14 (13). Date of Electronic Publication: 2024 Jun 25.
DOI: 10.3390/diagnostics14131351
Abstrakt: Background: Macular telangiectasia (MacTel), also known as idiopathic juxtafoveolar telangiectasis (IJFTs), involves telangiectatic changes in the macular capillary network. The most common variant, MacTel type 2, has distinct clinical features and management strategies.
Methods: This study offers a comprehensive review of MacTel and focuses on a series of three patients diagnosed with MacTel type 2 in our clinic. A meticulous ophthalmological evaluation, augmented by high-resolution imaging techniques like optical coherence tomography (OCT), OCT angiography (OCT-A), fundus autofluorescence (FAF), fluorescein angiography (FA), and adaptive optics (AOs) imaging, was conducted.
Results: The findings revealed normal anterior segment features and a grayish discoloration in the temporal perifoveal area on fundus examination. OCT exhibited hyporeflective cavities in the inner and outer neurosensory retina, along with other changes, while OCT-A identified retinal telangiectatic vessels in the deep capillary plexus. FAF demonstrated increased foveal autofluorescence, while FA initially detected telangiectatic capillaries followed by diffuse perilesional leakage in the later phase. Adaptive optics images showed the cone mosaic pattern. Notably, one patient developed a macular hole as a complication, which was successfully managed surgically.
Conclusion: This study underscores the challenges in diagnosing and managing MacTel, emphasizing the importance of a multidisciplinary approach and regular follow-ups for optimal outcomes.
Databáze: MEDLINE
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