Retina-Vitreous
2010 , Vol 18 , Num 4
Fundus Imaging Findings and Management of Idiopathic Juxtafoveal Telangiectasia
1Yeditepe Üniv. Tıp Fak. Hastanesi, Göz Hastalıkları A.D., İstanbul, Türkiye, Yrd. Doç. Dr.2Yeditepe Üniv. Tıp Fak. Hastanesi, Göz Hastalıkları A.D., İstanbul, Türkiye, Doç. Dr.
3Yeditepe Üniv. Tıp Fak. Hastanesi, Göz Hastalıkları A.D., İstanbul, Türkiye, Asist. Dr.
4Yeditepe Üniv. Tıp Fak. Hastanesi, Göz Hastalıkları A.D., İstanbul, Türkiye, Prof. Dr. The fundus imaging findings and the management of a case with type 2 idiopathic juxtafoveal telangiectasia (IJT) is described. A 49-year-old woman referrred to our clinic with progressive vision loss and best corrected visual acuity (BCVA) was found to be 20/80 OD and 20/25 OS. Corresponding to the area of macular retinal greying in fundus examination, there was a ring-shaped increased reflectance in confocal red free fundus imaging and a ringshaped increased autofluorescence in fundus auotfluoresence (FAF) imaging in both eyes. In addition, FAF imaging revealed a hyperautofluorescent area in the foveola in both eyes, possibly related to the increased retinal transparency due to photorecetor cell layer loss in the right eye and cystic cavities in the left eye depicted by optical coherence tomography. Two intravitreal injection of bevacizumab were applied to the right eye and BCVA maintained at the level of 20/32 OD together with an overall decrease of 31 μm in central foveal thickness after 5 months of the second injection. Keywords : Idiopathic juxtafoveal telangiectasia, fundus autofluorescence, intravitreal bevacizumab