Demographic Features of Idiopathic Macular Telangiectasia in Korean Patients.
10.3341/kjo.2015.29.3.155
- Author:
Sung Hyun KIM
1
;
Jaeryung OH
;
Soh Eun AHN
;
Choul Yong PARK
;
Jong Hyun OH
Author Information
1. Department of Ophthalmology, Dongguk University Ilsan Hospital, Goyang, Korea. blueretinaoh@gmail.com
- Publication Type:Original Article
- Keywords:
Idiopathic juxtafoveal retinal telangiectasia;
Macular telangiectasia;
Spectral domain optical coherence tomography
- MeSH:
Adult;
Aged;
Aged, 80 and over;
Female;
Humans;
Male;
Middle Aged;
Republic of Korea/epidemiology;
Retina/pathology;
*Retinal Telangiectasis/diagnosis/epidemiology/pathology/physiopathology;
Retrospective Studies
- From:Korean Journal of Ophthalmology
2015;29(3):155-159
- CountryRepublic of Korea
- Language:English
-
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.
