Juxtafoveal Telangiectasis - Stage 5 Spectralis
|
|
60-year-old man has juxtafoveal retinal telangiectasis in both eyes with vision change. Recently his vision has been declining. He had more trouble reading. I last saw him in March of 2010. Since then he notices he is not as good as he was.
VISUAL ACUITY: OD 20/50, OS 20/70. IOP: OD 11, OS 12. The posterior chamber intraocular lens is in good position in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.3. There is no posterior vitreous separation. There are patchy telangiectatic vessels and retinal crystals.
OS: Vertical C/D ratio is 0.5. There is no posterior vitreous separation. There is hemorrhage in the macula with pigment epithelium thickening superonasal to the fovea.
SPECTRALIS-SD-OCT SCAN: The OCT scan of the right eye shows a normal central foveal thickness of 289 microns and the left eye shows foveal edema with juxtafoveal edema. The average central foveal thickness was 330 microns. (NOTE: Retinal thickness measured with Spectralis OCT is approximately 70 μm greater than that measured with Stratus OCT. This increased measurement corresponds to the inclusion of the outer segment-RPE-Bruch's membrane complex by Spectralis OCT.) Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography shows bright hyperfluorescence more in the macula in the left eye than the right eye.
IMPRESSION:
1. JUXTAFOVEAL RETINAL TELANGIECTASIS – BOTH EYES
2. STAGE FIVE – LEFT EYE
3. WET AGE-RELATED MACULAR DEGENERATION – LEFT EYE
DISCUSSION: I explained to the patient with Avastin there is a chance of drying the macula in the left eye and improving the vision. I treated the left eye with intravitreal injection of Avastin (1.25 mg/0.05 ml) without any difficulty today.
|
Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vaatamisi: 59060-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
(0 hinnangut)
|
|
Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vaatamisi: 64860-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
(0 hinnangut)
|
|
Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vaatamisi: 69560-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
(0 hinnangut)
|
|
Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vaatamisi: 92060-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
(0 hinnangut)
|
|
Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel SDOCTvaatamisi: 57160-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
(0 hinnangut)
|
|
Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel SDOCTvaatamisi: 52660-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
(0 hinnangut)
|
|
Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel FAFvaatamisi: 60260-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
(0 hinnangut)
|
|
Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel FAFvaatamisi: 69660-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
(0 hinnangut)
|
|
Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vaatamisi: 46060-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
(0 hinnangut)
|
|
Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vaatamisi: 46660-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
(0 hinnangut)
|
|
Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vaatamisi: 43260-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
(0 hinnangut)
|
|
Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vaatamisi: 46360-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
(0 hinnangut)
|
|
Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vaatamisi: 54160-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
(0 hinnangut)
|
|
Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vaatamisi: 43760-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
(0 hinnangut)
|
|
Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vaatamisi: 45660-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
(0 hinnangut)
|
|
Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vaatamisi: 44760-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
(0 hinnangut)
|
|
Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vaatamisi: 44360-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
(0 hinnangut)
|
|
Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vaatamisi: 43160-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
(0 hinnangut)
|
|
Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vaatamisi: 55660-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
(1 hinnangut)
|
|
Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vaatamisi: 47660-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
(0 hinnangut)
|
|
Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel VIDEO TAKES TIME TO LOADvaatamisi: 41160-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
(0 hinnangut)
|
|
Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel VIDEO TAKES TIME TO LOADvaatamisi: 43060-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
(0 hinnangut)
|
|
Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel VIDEO TAKES TIME TO LOADvaatamisi: 39860-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
(0 hinnangut)
|
|
Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vaatamisi: 43560-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
(0 hinnangut)
|
|
Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vaatamisi: 53460-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
(0 hinnangut)
|
|
Macular Telangiectasia - Stage 3 right eye 20/40 visionvaatamisi: 448Multi-Color Image
(0 hinnangut)
|
|
Macular Telangiectasia - Stage 3 right eye 20/40 vision - Bulls Eye Blue Reflectancevaatamisi: 461Confocal Blue Reflectance
(0 hinnangut)
|
|
Macular Telangiectasia - Stage 3 right eye 20/40 visionvaatamisi: 451Confocal Green Reflectance
(0 hinnangut)
|
|
Macular Telangiectasia - Stage 3 right eye 20/40 visionvaatamisi: 507Confocal InfraRed Reflectance
(0 hinnangut)
|
|
Macular Telangiectasia - Stage 5 left eye - 20/40 vision after 2 years of Avastin vaatamisi: 480Multicolor Image
(0 hinnangut)
|
|
Macular Telangiectasia - Stage 5 left eye - 20/40 vision after 2 years of Avastin - Bulls Eye Blue Reflectancevaatamisi: 450Confocal Blue Reflectance
(0 hinnangut)
|
|
Macular Telangiectasia - Stage 5 left eye - 20/40 vision after 2 years of Avastin vaatamisi: 436Confocal Green Reflectance
(0 hinnangut)
|
|
Macular Telangiectasia - Stage 5 left eye - 20/40 vision after 2 years of Avastin vaatamisi: 408Confocal InfraRed Reflectance
(0 hinnangut)
|
|
Macular Telangiectasia - Stage 3 right eye 20/40 visionvaatamisi: 469Spectral Domain OCT Line Scan
(0 hinnangut)
|
|
Macular Telangiectasia - Stage 3 right eye 20/40 visionvaatamisi: 515Spectral Domain OCT Line Scan
(0 hinnangut)
|
|
Macular Telangiectasia - Stage 5 left eye - 20/40 vision after 2 years of Avastin vaatamisi: 415Spectral Domain OCT Line Scan
(0 hinnangut)
|
|
Macular Telangiectasia - Stage 5 left eye - 20/40 vision after 2 years of Avastin vaatamisi: 661Spectral Domain OCT Line Scan
(0 hinnangut)
|
|
|
|
|
|
|
60-year-old man has juxtafoveal retinal telangiectasis in both eyes with vision change. Recently his vision has been declining. He had more trouble reading. I last saw him in March of 2010. Since then he notices he is not as good as he was.
VISUAL ACUITY: OD 20/50, OS 20/70. IOP: OD 11, OS 12. The posterior chamber intraocular lens is in good position in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.3. There is no posterior vitreous separation. There are patchy telangiectatic vessels and retinal crystals.
OS: Vertical C/D ratio is 0.5. There is no posterior vitreous separation. There is hemorrhage in the macula with pigment epithelium thickening superonasal to the fovea.
SPECTRALIS-SD-OCT SCAN: The OCT scan of the right eye shows a normal central foveal thickness of 289 microns and the left eye shows foveal edema with juxtafoveal edema. The average central foveal thickness was 330 microns. (NOTE: Retinal thickness measured with Spectralis OCT is approximately 70 μm greater than that measured with Stratus OCT. This increased measurement corresponds to the inclusion of the outer segment-RPE-Bruch's membrane complex by Spectralis OCT.) Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography shows bright hyperfluorescence more in the macula in the left eye than the right eye.
IMPRESSION:
1. JUXTAFOVEAL RETINAL TELANGIECTASIS – BOTH EYES
2. STAGE FIVE – LEFT EYE
3. WET AGE-RELATED MACULAR DEGENERATION – LEFT EYE
DISCUSSION: I explained to the patient with Avastin there is a chance of drying the macula in the left eye and improving the vision. I treated the left eye with intravitreal injection of Avastin (1.25 mg/0.05 ml) without any difficulty today.
