Most viewed - 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.
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel 998 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel 777 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Macular Telangiectasia - Stage 5 left eye - 20/40 vision after 2 years of Avastin 757 viewsSpectral Domain OCT Line Scan
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel FAF753 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel 730 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel FAF694 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel 672 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel SDOCT650 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel 648 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel 615 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Macular Telangiectasia - Stage 3 right eye 20/40 vision604 viewsSpectral Domain OCT Line Scan
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel SDOCT596 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Macular Telangiectasia - Stage 3 right eye 20/40 vision580 viewsConfocal InfraRed Reflectance
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel 572 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel 568 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Macular Telangiectasia - Stage 3 right eye 20/40 vision566 viewsMulti-Color Image
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Macular Telangiectasia - Stage 5 left eye - 20/40 vision after 2 years of Avastin 562 viewsMulticolor Image
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel 551 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Macular Telangiectasia - Stage 3 right eye 20/40 vision549 viewsSpectral Domain OCT Line Scan
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Macular Telangiectasia - Stage 3 right eye 20/40 vision - Bulls Eye Blue Reflectance544 viewsConfocal Blue Reflectance
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Macular Telangiectasia - Stage 3 right eye 20/40 vision537 viewsConfocal Green Reflectance
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Macular Telangiectasia - Stage 5 left eye - 20/40 vision after 2 years of Avastin - Bulls Eye Blue Reflectance532 viewsConfocal Blue Reflectance
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel 524 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Macular Telangiectasia - Stage 5 left eye - 20/40 vision after 2 years of Avastin 524 viewsSpectral Domain OCT Line Scan
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel VIDEO TAKES TIME TO LOAD520 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel 517 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Macular Telangiectasia - Stage 5 left eye - 20/40 vision after 2 years of Avastin 516 viewsConfocal Green Reflectance
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel 512 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel 509 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel 507 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel 507 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel 503 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel 496 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel 477 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel VIDEO TAKES TIME TO LOAD477 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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Macular Telangiectasia - Stage 5 left eye - 20/40 vision after 2 years of Avastin 473 viewsConfocal InfraRed Reflectance
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel VIDEO TAKES TIME TO LOAD470 views60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM
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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.
