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Macular Telangiectasia With Bilateral Obliterated Capillaries: A Case Report Publisher Pubmed



Samadi M1 ; Azarkish A2 ; Riaziesfahani H1 ; Mahmoudi A1 ; Ebrahimiadib N1
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Authors Affiliations
  1. 1. Retina Service, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Ophthalmology, School of Medicine, Dezful University of Medical Sciences, Dezful, Iran

Source: Journal of Medical Case Reports Published:2022


Abstract

Background: We report an otherwise healthy adult with macular telangiectasia with aneurysms, ischemia, and obliterated capillaries in both eyes. Methods: This is a case report with a brief literature review. Case presentation: A 58-year-old Iranian woman presented with a gradual decrease in vision, with recent deterioration. Past medical history was unremarkable, and best-corrected visual acuity was 3/10 in both eyes. Multimodal imaging including fundus photo, fluorescein angiography, optical coherence tomography, and optical coherence tomography angiography was carried out. In macula of both eyes, parafoveal telangiectasia, occluded vessels, capillary dropouts, and aneurysms were observed. While there were a dense circinate exudation and edema in the macula of the right eye and a thin and disorganized inner retinal layer in the left eye, the outer retina was intact in both eyes. En face optical coherence tomography angiography revealed capillary blunting and rarefaction in both superficial and deep capillary plexuses of retina. Conclusion: Our case most probably represents a case of type 3 macular telangiectasia in the absence of any systemic association. © 2022, The Author(s).
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