Derniers ajouts - 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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Macular Telangiectasia - Stage 5 left eye - 20/40 vision after 2 years of Avastin vu 741 foisSpectral Domain OCT Line Scan17 Mars 2014
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Macular Telangiectasia - Stage 5 left eye - 20/40 vision after 2 years of Avastin vu 507 foisSpectral Domain OCT Line Scan17 Mars 2014
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Macular Telangiectasia - Stage 3 right eye 20/40 visionvu 593 foisSpectral Domain OCT Line Scan17 Mars 2014
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Macular Telangiectasia - Stage 3 right eye 20/40 visionvu 538 foisSpectral Domain OCT Line Scan17 Mars 2014
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Macular Telangiectasia - Stage 5 left eye - 20/40 vision after 2 years of Avastin vu 466 foisConfocal InfraRed Reflectance17 Mars 2014
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Macular Telangiectasia - Stage 5 left eye - 20/40 vision after 2 years of Avastin vu 500 foisConfocal Green Reflectance17 Mars 2014
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Macular Telangiectasia - Stage 5 left eye - 20/40 vision after 2 years of Avastin - Bulls Eye Blue Reflectancevu 524 foisConfocal Blue Reflectance17 Mars 2014
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Macular Telangiectasia - Stage 5 left eye - 20/40 vision after 2 years of Avastin vu 554 foisMulticolor Image17 Mars 2014
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Macular Telangiectasia - Stage 3 right eye 20/40 visionvu 572 foisConfocal InfraRed Reflectance17 Mars 2014
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Macular Telangiectasia - Stage 3 right eye 20/40 visionvu 530 foisConfocal Green Reflectance17 Mars 2014
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Macular Telangiectasia - Stage 3 right eye 20/40 vision - Bulls Eye Blue Reflectancevu 537 foisConfocal Blue Reflectance17 Mars 2014
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Macular Telangiectasia - Stage 3 right eye 20/40 visionvu 558 foisMulti-Color Image17 Mars 2014
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vu 604 fois60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM26 Janvier 2012
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vu 501 fois60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM26 Janvier 2012
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel VIDEO TAKES TIME TO LOADvu 463 fois60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM26 Janvier 2012
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel VIDEO TAKES TIME TO LOADvu 509 fois60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM26 Janvier 2012
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel VIDEO TAKES TIME TO LOADvu 469 fois60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM26 Janvier 2012
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vu 561 fois60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM26 Janvier 2012
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vu 641 fois60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM26 Janvier 2012
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vu 495 fois60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM26 Janvier 2012
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vu 495 fois60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM26 Janvier 2012
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vu 511 fois60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM26 Janvier 2012
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vu 503 fois60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM26 Janvier 2012
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vu 489 fois60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM26 Janvier 2012
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vu 565 fois60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM26 Janvier 2012
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vu 498 fois60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM26 Janvier 2012
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vu 469 fois60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM26 Janvier 2012
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vu 540 fois60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM26 Janvier 2012
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vu 501 fois60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM26 Janvier 2012
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel FAFvu 746 fois60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM26 Janvier 2012
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel FAFvu 683 fois60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM26 Janvier 2012
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel SDOCTvu 587 fois60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM26 Janvier 2012
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel SDOCTvu 639 fois60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM26 Janvier 2012
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vu 986 fois60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM26 Janvier 2012
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vu 770 fois60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM26 Janvier 2012
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vu 725 fois60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM26 Janvier 2012
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Juxtafoveal Telangiectasis - Stage 5 Left Eye - New Blood and Neovascularization MacTel vu 665 fois60-year-old man has juxtafoveal retinal telangiectasis recent vision loss OD 20/50, OS 20/70 : Hemorrhage OS and new SRNVM26 Janvier 2012
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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.
