Retina-Vitreous
2012 , Vol 20 , Num 2
Fundus Imagıng of Two Type 2a Juxtafoveal Retinal Telangiectasia Patients
1M.D., Beyoğlu Eye Training and Research Hospital 2nd Eye Clinic, İstanbul/TURKEY2M.D. Associate Professor, Beyoğlu Eye Training and Research Hospital 2nd Eye Clinic, İstanbul/TURKEY A 52-year-old woman presented with diminishing vision who had been followed-up with the diagnosis of macular hole by another clinic. Best corrected visual acuity (BCVA) was 20/800 and 20/100, in the right and left eye, respectively. Fundus examination in both eyes revealed macular hole-like image and gray reflection in the fovea. Internal limiting membrane (ILM) drape was detected via optical coherence tomography (OCT) in the fovea in both eyes. Fundus fluorescein angiography (FA) showed telangiectasis in both eyes. Fundus autofluorescence (FOF) imaging revealed hyperautofluorescence in both eyes. A 65-year-old male patient was admitted because of low vision who had been followed-up with a diagnosis of age-related macular degeneration by another clinic. BCVA was 20/400 and 20/800 in the right and left eye, respectively. In both eyes, the fundus examination revealed retina pigment epithelium abnormalities and gray reflection at the fovea. ILM drape, and inner and outer cystic changes were detected in the right eye and inner and outer cystic changes were detected in the left eye via OCT. FFA showed telangiectasis and FOF imaging showed hyperautofluoresence in both eyes. In the light of these findings the patients were assessed as type 2 JFT and taken under observation. JFTs, despite having been described as telangiectasis, are a heterogeneous group of disorders. Type 1 JFT consists of real telangiectatic changes, type 2 JFT represents foveal atrophy, and type 3 remains with foveal ischemia. As in these patients, appropriate examination and differential diagnosis by using imaging techniques can differentiate JFT from other macular diseases and will help us to avoid unnecessary treatment. Keywords : Fundus fluorescein angiography, fundus autofluorescence, juxtafoveal retinal telangiectasia, optical coherence tomography