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This meeting has been awarded 20 CME credits

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Posters

Treatment of infantile idiopathic juxtafoveolar telangiectasia, in the spectrum of Coats’ disease

Poster Details

First Author: V.Lozano-Lopez SPAIN

Co Author(s):    M. Serrano-Garcia   A. Abreu-Reyes   C. Pinto-Herrera            0   0 0   0 0   0 0   0 0

Abstract Details



Purpose:

Idiopathic juxtafoveal telangiectasia in childhood

Setting:

Case report and treatment proposal.

Methods:

A 12 year old patient with idiopathic juxtafoveolar telangiectasia type 1 in the left eye treated with dexamethasone intravitreal implant and laser therapy. Visual acuity, biomicroscopy, central macular thickness measured by optical coherence tomography and fluorescein angiography was assessed at follow-up visits. The VA improved from 0.4 (Snellen) and remained stable at 0.5 (Snellen) after 6 months of follow-up, central macular thickness decreased by 292 microns at peak drug effect. An increased in intraocular pressure developed and was controlled with topical hypotensive treatment.

Results:

The good anatomic response to treatment with dexamethasone intravitreal implant associated with laser therapy for idiopathic juxtafoveolar telangiectasia with exudation, that can be considered a spectrum of Coats' disease, was consistent with a functional improvement of VA.

Conclusions:

We consider that is an idiopathic macular telangiectasia. Based on vision and exudative component, we treat with intravitreal implant dexamethasone and laser therapy. At 6 weeks, the edema has improved, but with intraocular pressure of 28 mmHg, which subsides with treatment. At 4 months, the edema relapses and vision remained at 0.5 after 6 months.

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