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
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Idiopathic juxtafoveal telangiectasia in childhood
Case report and treatment proposal.
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.
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.
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.