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1. History
2. Exam
3. Photos
4. Diagnosis
5. Teaching Points
6. Comments

Case 114 Teaching Points

• Clinically apparent retinal telangiectasia and ectasia of capillary bed confined to juxtafoveal region
• Three types
  • 1A:  Unilateral, congenital, minimal vision loss, treatment is focal laser photocoagulation
  • 1B:  Unilateral, acquired, minimal vision loss, treatment is focal laser photocoagulation
  • 2:  Most common type, bilateral, right-angled venules with perivascular hyperpigmentation, usually minimal vision loss, no treatment recommended
  • 3: Bilateral, can have minimal vision loss to legal blindness secondary to juxtafoveal capillary obliteration, no treatment recommended

References

Chew E.  Parafoveal telangiectasis. In: Ryan SJ, ed. Retina, Vol II, 4th ed, 2006,  pp 1410-1415.

Sindt SJ, Oh K.  Idiopathic juxtafoveal retinal telangiectasis: case report and literature review.  Optometry 2001;72(4):228-233.