Macular Telangiectasia - Clinical Pearls

Clinical Pearls

IJRT may also be referred to by various names, including idiopathic juxtafoveolar, macular, perifoveal or parafoveal telangiectasis, depending on the source.All refer to the same syndrome.It is commonly under-diagnosed. The findings may appear very similar to diabetic retinopathy, and many cases ave been incorrectly ascribed to diabetic retinopathy. Unfortunately, this misdiagnosis has also occurred in patients who were not diabetic. Recognition of this condition can save a patient from unnecessarily undergoing extensive medical testing. Consider IJRT in cases of mild para-macular dot and blot hemorrhages inpatients without ischemic vascular disease such as diabetes and hypertension. Also, consider this diagnosis in cases of macularand paramacular RPE hyperplasia where no other cause can be identified