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Year : 2013  |  Volume : 106  |  Issue : 3  |  Page : 183-187

Role of focal laser ablation in the treatment of type 1 idiopathic juxtafoveolar retinal telangiectasis

Department of Ophthalmology, Faculty of Medicine, Menoufia University, Menoufia, Egypt

Correspondence Address:
Hesham Elmazar
Menoufia University, 13-32111, Menoufia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2090-0686.127390

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Introduction Idiopathic juxtafoveolar retinal telangiectasis (IJRT) is a retinal vascular anomaly characterized by irregular dilation and incompetence of retinal vessels. Although the etiology of the condition is unknown, its various presentations have been characterized into three groups. Treatment is based mainly on disease classification and includes laser photocoagulation and observation besides other modalities. Aim The aim of the work was to study the role of focal laser treatment for type 1 IJRT. Patients and methods A retrospective noncomparative study was carried out at the Ophthalmology Department, Menoufia University, Egypt, during the period from January 2007 to December 2011, wherein four patients (three male and one female) diagnosed with type 1 (exudative) IJRT on the basis of fluorescein angiography and after ruling out other causes were included in the study. Four eyes with macular edema and exudation were subjected to focal laser treatment (double-frequency YAG) with green laser (wavelength 532 nm). The follow-up period after laser treatment extended from 6 to 24 months. Results Four patients diagnosed with type 1 IJRT were included in the study (three male and one female). Their age ranged from 40 to 42 years, with a mean age of 40.75 years. Focal double-frequency YAG green laser (wavelength 532 nm) treatment resulted in the reduction of both macular edema and exudation with improvement in visual acuity from one to two lines on follow-up. Conclusion Focal laser treatment of type 1 IJRT lesions proved to be effective. The treatment is a safe method for managing leakage and stabilizing vision.

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