Long-term juxtafoveal retinal telangiectasia

Robert C. Watzke, Michael L. Klein, James C. Folk, Samuel G. Farmer, Richard S. Munsen, Robert J. Champfer, K. R. Sletten

Research output: Contribution to journalReview article

29 Scopus citations

Abstract

Purpose: To determine the long-term natural history of idiopathic juxtafoveal telangiectasia (IJRT). Methods: Record review in 2 university-based and 2 private vitreoretinal practices sought patients with IJRT documented by color photographs and fluorescein angiograms (FAs) during the period January 1, 1980, to December 31, 1993. Patients then had repeated examinations and FAs. Results: Twenty patients with IJRT in 32 eyes had follow-up examinations. Fifteen patients had color photographs and FAs, and one had color photographs alone. Follow-up varied from 10 years to 21 years (average, 15 years). Six eyes were treated by laser photocoagulation at onset. Twenty-four of the 26 untreated eyes lost vision as measured by Snellen testing. Visual loss and morphologic progression depended on IJRT type. Six of 8 untreated eyes with type IA IJRT lost vision by ≥3 lines (Snellen), 4 to 20/70 or worse. Vision loss was caused by progressive telangiectatic changes and intraretinal edema. Fifteen of 20 initially untreated eyes with type IIA IJRT developed either central retinal pigment epithelium membranes or subretinal neovascularization with loss of vision to 20/80 or less. Conclusion: IJRT prognosis depends on type and clinical features. Long-term prognosis for central vision is poor.

Original languageEnglish (US)
Pages (from-to)727-735
Number of pages9
JournalRetina
Volume25
Issue number6
DOIs
StatePublished - Sep 1 2005

Keywords

  • Idiopathic juxtafoveal telangiectasia
  • Parafoveal telangiectasia

ASJC Scopus subject areas

  • Ophthalmology

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    Watzke, R. C., Klein, M. L., Folk, J. C., Farmer, S. G., Munsen, R. S., Champfer, R. J., & Sletten, K. R. (2005). Long-term juxtafoveal retinal telangiectasia. Retina, 25(6), 727-735. https://doi.org/10.1097/00006982-200509000-00007