Idiopathic Juxtafoveolar Retinal Telangiectasis

Idiopathic juxtafoveolar retinal telangiectasis (IJRT), also known as idiopathic macular telangiectasia (IMT), refers to a heterogeneous group of well recognized clinical entities characterized by telangiectatic alterations of the juxtafoveolar capillary network of one or both eyes, but which differ...

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Main Authors: Neha Goel, Bhanu Pratap Singh Pangtey, Anisha Seth, Usha Kaul Raina, Basudeb Ghosh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2010-07-01
Series:Delhi Journal of Ophthalmology
Online Access:https://journals.lww.com/10.4103/0972-0200.377285
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author Neha Goel
Bhanu Pratap Singh Pangtey
Anisha Seth
Usha Kaul Raina
Basudeb Ghosh
author_facet Neha Goel
Bhanu Pratap Singh Pangtey
Anisha Seth
Usha Kaul Raina
Basudeb Ghosh
author_sort Neha Goel
collection DOAJ
description Idiopathic juxtafoveolar retinal telangiectasis (IJRT), also known as idiopathic macular telangiectasia (IMT), refers to a heterogeneous group of well recognized clinical entities characterized by telangiectatic alterations of the juxtafoveolar capillary network of one or both eyes, but which differ in appearance, presumed pathogenesis, and management. Classically, three groups of IJRT are identified. Group 1 is unilateral, easily visible telangiectasis occurring predominantly in males, and causing visual loss as a result of macular edema. Group 2, the most common, is bilateral occurring in both middle-aged men and women, and presenting with telangiectasis that is more difficult to detect on biomicroscopy, minimal exudation, superficial retinal crystalline deposits, and right-angle venules along with characteristic and diagnostic angiographic and optical coherence tomography (OCT) features. Vision loss is due to retinal atrophy, not exudation, and subretinal neovascularisation (SRNV) is common. Group 3 is very rare characterized predominantly by progressive obliteration of the perifoveal capillary network, occurring usually in association with a medical or neurologic disease. This article presents a current review of IJRT, including the classification, clinical features, pathogenesis, complications, differential diagnosis, and treatment modalities.
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spelling doaj-art-e7695eb7eeb14b8d80e3d99d78ce78a22025-08-20T02:11:02ZengWolters Kluwer Medknow PublicationsDelhi Journal of Ophthalmology0972-02002454-27842010-07-01211263210.4103/0972-0200.377285Idiopathic Juxtafoveolar Retinal TelangiectasisNeha GoelBhanu Pratap Singh PangteyAnisha SethUsha Kaul RainaBasudeb GhoshIdiopathic juxtafoveolar retinal telangiectasis (IJRT), also known as idiopathic macular telangiectasia (IMT), refers to a heterogeneous group of well recognized clinical entities characterized by telangiectatic alterations of the juxtafoveolar capillary network of one or both eyes, but which differ in appearance, presumed pathogenesis, and management. Classically, three groups of IJRT are identified. Group 1 is unilateral, easily visible telangiectasis occurring predominantly in males, and causing visual loss as a result of macular edema. Group 2, the most common, is bilateral occurring in both middle-aged men and women, and presenting with telangiectasis that is more difficult to detect on biomicroscopy, minimal exudation, superficial retinal crystalline deposits, and right-angle venules along with characteristic and diagnostic angiographic and optical coherence tomography (OCT) features. Vision loss is due to retinal atrophy, not exudation, and subretinal neovascularisation (SRNV) is common. Group 3 is very rare characterized predominantly by progressive obliteration of the perifoveal capillary network, occurring usually in association with a medical or neurologic disease. This article presents a current review of IJRT, including the classification, clinical features, pathogenesis, complications, differential diagnosis, and treatment modalities.https://journals.lww.com/10.4103/0972-0200.377285
spellingShingle Neha Goel
Bhanu Pratap Singh Pangtey
Anisha Seth
Usha Kaul Raina
Basudeb Ghosh
Idiopathic Juxtafoveolar Retinal Telangiectasis
Delhi Journal of Ophthalmology
title Idiopathic Juxtafoveolar Retinal Telangiectasis
title_full Idiopathic Juxtafoveolar Retinal Telangiectasis
title_fullStr Idiopathic Juxtafoveolar Retinal Telangiectasis
title_full_unstemmed Idiopathic Juxtafoveolar Retinal Telangiectasis
title_short Idiopathic Juxtafoveolar Retinal Telangiectasis
title_sort idiopathic juxtafoveolar retinal telangiectasis
url https://journals.lww.com/10.4103/0972-0200.377285
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AT anishaseth idiopathicjuxtafoveolarretinaltelangiectasis
AT ushakaulraina idiopathicjuxtafoveolarretinaltelangiectasis
AT basudebghosh idiopathicjuxtafoveolarretinaltelangiectasis