Search results (79 results)

Mar 7 2025 by T. P . VIGNESH, MBBS,MS

Fundus photograph of the left eye of an 62-year-old woman with macular telangiectasia type 2.

Photographer: Sivanath

Imaging device: EIDON

Condition/keywords: macular telangiectasia type 2

Mar 7 2025 by T. P . VIGNESH, MBBS,MS

Fundus photograph of the right eye of an 62-year-old woman with macular telangiectasia type 2.

Photographer: Sivanath

Imaging device: EIDON

Condition/keywords: IJT

Oct 31 2024 by JULIAN VILLARREAL, MD

60 year old female with an end-stage proliferative macular telangiectasia type 2 with right-angle retinal vessels, manifested as blunted arterioles and venules that connect the superficial and deeper retinal plexus, chorioretinal anastomosis with a fibrovascular scar and a typical retinal pigment hyperplasia , fellow eye showed a focal discontinuity in the ellipsoid zone with a loss of the outer and a disorganization of the inner retinal layers, not involving the foveal center and a non exudative neovascularization

Photographer: Julián Villarreal MD

Imaging device: Zeiss Clarus 700

Condition/keywords: Mac Tel type 2, macular telangiectasia type 2

Mar 29 2024 by Lucy V Cobbs, M.D.

Optical coherence tomography angiography allows for 3-dimensional vessel imaging and may help detect abnormal vessels earlier than fluorescein angiography, which was historically used in diagnosis of MacTel type 2. This OCTA of the left eye of a 52-year-old male captures superficial telangiectatic macular vessels (top left) and follows them as they dive into deeper capillary layers (top right). The structural image of this OCTA (bottom right) shows the classic “right angles” of these abnormal vessels as they plunge. The outer retinal slab image (bottom left) shows a choroidal neovascular membrane, which is a rare complication of MacTel type 2.

Condition/keywords: Mac Tel type 2

Mar 29 2024 by Lucy V Cobbs, M.D.

Fluorescein angiography of the left eye of a 45-year-old African American female with MacTel type 2 and Type 2 Diabetes. This angiogram demonstrates peripheral microaneurysms characteristic of mild non proliferative diabetic retinopathy and temporal foveal leakage with telangiectatic macular capillaries classic for MacTel type 2. There is a well-established association between the two conditions.

Condition/keywords: Mac Tel type 2

Mar 29 2024 by Lucy V Cobbs, M.D.

Color fundus photograph of the left eye of a 70-year-old male with a disciform scar resulting from a neovascular membrane. A minority of MacTel type 2 patients develop neovascular disease, and the gold standard treatment is anti-VEGF intravitreal therapy. Without treatment, membranes may progress to severe central macular scarring. Late stages of proliferative MacTel type 2 may be confused with AMD, and a differentiating aspect is that MacTel type 2 typically lacks pigment epithelial detachments and drusen.

Condition/keywords: Mac Tel type 2

Mar 29 2024 by Lucy V Cobbs, M.D.

Optical coherence tomography demonstrates a cavitation involving the inner retina with a thin ILM drape over the region of tissue loss. In addition, there is underlying focal disruption of the ellipsoid zone. These hyporreflective cavitations do not correlate with leakage on fluorescein angiography and are distinct from cysts in that they are not thought to be fluid filled.

Condition/keywords: Mac Tel type 2

Mar 29 2024 by Lucy V Cobbs, M.D.

Fundus autofluorescence photograph of both eyes of a patient with MacTel type 2. Fundus autofluorescence can aid in early diagnosis of disease, showing development of foveal hyperautofluorescence corresponding to deterioration of macular pigment and possible damage to Muller cells. As the disease progresses, RPE hyperplasia may develop and manifests as hypoautofluorescent regions.

Condition/keywords: Mac Tel type 2, retina

Mar 29 2024 by Lucy V Cobbs, M.D.

Color fundus photograph of the right eye of a 61-year-old Caucasian female shows that as disease progresses, parafoveal capillaries become dilated temporally and then circumferentially around the fovea. The vessels also appear to make “right angle” turns as they plunge into deep retina. Punctate crystals may form at the vitreoretinal interface in almost half of MacTel type 2 patients and do not correlate with disease progression. This patient had bilateral asymmetric disease involvement, which is typical for MacTel type 2.

Condition/keywords: fundus photograph

Mar 29 2024 by Lucy V Cobbs, M.D.

Color fundus photograph of a right eye depicts fundus changes typically seen early in disease onset of MacTel type 2. The first clinical sign of disease is subtle retinal opacification parafoveally. RPE changes initially occur temporally along dilated capillaries and then later involve the rest of the parafoveal region as disease progresses.

Condition/keywords: Mac Tel type 2, retina

Sep 12 2023 by Ben Serar

Fundus photograph of RE showing pigmentary changes with dot haemorrhages and exudates at the macula, in a case of Macular Telangiectasia (MacTel).

Condition/keywords: Macular Telangiectasia (MacTel)

Mar 31 2023 by Niloofar Piri, MD

Fundus autofluorescence of both eyes in a diabetic patient with Mac tel type 2 demonstrating classic temporal foveal hyperAF.

Condition/keywords: idiopathic macular telangiectasia, Mac Tel type 2, macular telangiectasia type 2

Jul 1 2022 by T. P . VIGNESH, MBBS,MS

Fundus photo of a 70 year old man with Mactel with scarred subretinal neovascular membrane.

Photographer: Bharathi Singaravel

Imaging device: Zeiss Clarus

Condition/keywords: macular telangiectasia type 2

Oct 27 2021 by Ahmad B. Tarabishy, MD

Fluorescein angiogram of a 56 y.o. M with parafoveal telangiectasias. Early transit images show the delicate abnormal capillary network in the temporal parafoveal region. Late transit images show mild leakage.

Photographer: Angela Rico, Retina Specialists of Tampa

Condition/keywords: idiopathic macular telangiectasia, juxtafoveal telangiectasis, parafoveal telangiectasia

Oct 27 2021 by Ahmad B. Tarabishy, MD

Fluorescein angiogram of a 56 y.o. M with parafoveal telangiectasias. Early transit images show the delicate abnormal capillary network in the temporal parafoveal region. Late transit images show mild leakage.

Photographer: Angela Rico, Retina Specialists of Tampa

Condition/keywords: idiopathic macular telangiectasia, juxtafoveal telangiectasis, parafoveal telangiectasia

Oct 27 2021 by Ahmad B. Tarabishy, MD

Fluorescein angiogram of a 56 y.o. M with parafoveal telangiectasias. Early transit images show the delicate abnormal capillary network in the temporal parafoveal region. Late transit images show mild leakage.

Photographer: Angela Rico, Retina Specialists of Tampa

Condition/keywords: idiopathic macular telangiectasia, juxtafoveal telangiectasis, parafoveal telangiectasia

Oct 27 2021 by Ahmad B. Tarabishy, MD

Fluorescein angiogram of a 56 y.o. M with parafoveal telangiectasias. Early transit images show the delicate abnormal capillary network in the temporal parafoveal region. Late transit images show mild leakage.

Photographer: Angela Rico, Retina Specialists of Tampa

Condition/keywords: idiopathic macular telangiectasia, juxtafoveal telangiectasis, parafoveal telangiectasia

Oct 27 2021 by Ahmad B. Tarabishy, MD

Fluorescein angiogram of a 56 y.o. M with parafoveal telangiectasias. Early transit images show the delicate abnormal capillary network in the temporal parafoveal region. Late transit images show mild leakage.

Photographer: Angela Rico, Retina Specialists of Tampa

Condition/keywords: idiopathic macular telangiectasia, juxtafoveal telangiectasis, parafoveal telangiectasia

Sep 12 2020 by Deepak Bhojwani, MS

OCT-angiographic images of a 52-year-old gentlemen showing abnormal telangiectatic vessels over the macula in superficial layer which can be traced down to the deeper layer of capillaries. The outer retinal slab on OCTA delineates CNVM (a known complication of mactel). The structural image on extreme down right also shows the right-angled vessel (characteristic of mactel's and the associated structural damage secondary to CNV.

Photographer: DEEPAK BHOJWANI

Imaging device: ZEISS OCT-ANGIOPLEX

Condition/keywords: macular telangiectasia type 2, optical coherence tomography (OCT)

Jun 25 2020 by Thirumalesh Mochi Basavaraj, MD

Fundus photograph (montage) of 9-year-old child with macular exudation. Telangiectic vessels seen. Please note saccular and beaded aneurysmal dilatation of vessels temporally.

Photographer: Puttaswamy

Imaging device: DRI OCT Triton SSOCT- Topcon

Condition/keywords: Coats' disease, idiopathic macular telangiectasia, macular exudates

Dec 10 2019 by Jane S Myung, MD

Fluorescein angiography of both eyes was umremarkable except for his prior changes due to macular telangiectasia.

Photographer: Puna Vongdara

Imaging device: Optos Ultrawidefield Angiography

Condition/keywords: lipemia retinalis

Dec 10 2019 by Jane S Myung, MD

Fluorescein angiography of both eyes was unremarkable except for his prior changes due to macular telangiectasia.

Photographer: Puna Vongdara

Imaging device: Optos Ultrawidefield Angiography

Condition/keywords: lipemia retinalis

Dec 10 2019 by Jane S Myung, MD

Fundus photograph of a 58-year-old male with a past ocular history of macular telangiectasia type 2 who came in for routine follow-up with no vision changes and was found to have nearly complete retinal vessel whitening with a creamy appearance in both eyes. His past medical history includes diabetes, hypertension and hyperlipidemia, and he admits to stopping all his systemic medications several months prior.

Photographer: Puna Vongdara

Imaging device: Optos Ultrawidefield Camera

Condition/keywords: lipemia retinalis

Dec 10 2019 by Jane S Myung, MD

Fundus photograph of a 58-year-old male with a past ocular history of macular telangiectasia type 2 who came in for routine follow-up with no vision changes and was found to have nearly complete retinal vessel whitening with a creamy appearance in both eyes. His past medical history includes diabetes, hypertension and hyperlipidemia, and he admits to stopping all his systemic medications several months prior.

Photographer: Puna Vongdara

Imaging device: Optos Ultrawidefield Camera

Condition/keywords: lipemia retinalis

Nov 4 2019 by Thomas A. Ciulla, MD, MBA, FASRS

The telangiectasis occurs unilaterally in the temporal half of the macula in an area of 1–2 disc diameters. OCT originally showed significant macular edema temporally, mostly in the inner retina. He underwent a series of antiVEGF injections, as well as focal laser. The macular edema resolved and the visual acuity improved from 20/200 to 20/20.

Condition/keywords: idiopathic macular telangiectasia, juxtafoveal telangiectasis, parafoveal telangiectasia