Demographic features of idiopathic macular telangiectasia in Korean patients

Sung Hyun Kim, Jaeryung Oh, Soh Eun Ahn, Choul Yong Park, Jong Hyun Oh

    Research output: Contribution to journalArticlepeer-review

    4 Citations (Scopus)

    Abstract

    PURPOSE: To investigate the clinical and demographic features of idiopathic macular telangiectasia (MacTel) in Korean patients since the introduction of spectral domain optical coherence tomography (SD-OCT).

    METHODS: We reviewed medical records of patients who were diagnosed with MacTel from 2009 to 2013. All patients underwent fluorescein angiography and SD-OCT and were classified as type 1 or type 2 according to the classification system proposed by Yannuzzi.

    RESULTS: Over a period of 5 years, 4 (18.2%) patients were diagnosed with type 1 MacTel and 18 (81.8%) patients were diagnosed with type 2 MacTel. All patients with type1 MacTel were male, and their mean age was 51 ± 8.6 years. Among patients with type 2 MacTel, 3 (16.7%) were male, 15 (83.3%) were female, and the mean age was 60 ± 13.6 years. Whereas all type 1 MacTel patients had either metamorphopsia or mild scotoma, of the 18 patients with type 2 MacTel, only 4 (22.2%) had those symptoms, 10 (55.6%) complained of only mild visual impairment, and the other 4 (22.2%) had no symptoms. Intraretinal cystoid spaces were observed in 26 (72.2%) of 36 eyes with type 2 MacTel by SD-OCT. These cystoid spaces had irregular boundaries and did not correspond to angiographic leakages.

    CONCLUSIONS: Type 2 MacTel was most common in the present study. The wider availability of SD-OCT may have contributed to the diagnosis of type 2 MacTel. Type 2 MacTel may be more prevalent than type 1 in Koreans, which corresponds to the results of Western countries.

    Original languageEnglish
    Pages (from-to)155-159
    Number of pages5
    JournalKorean journal of ophthalmology : KJO
    Volume29
    Issue number3
    DOIs
    Publication statusPublished - 2015 Jun 1

    Keywords

    • Idiopathic juxtafoveal retinal telangiectasia
    • Macular telangiectasia
    • Spectral domain optical coherence tomography

    ASJC Scopus subject areas

    • Medicine(all)

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