| The Clinical Manifestations and Treatments of Parafoveal Telangiectasis. |
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Yong Ik Chang, Jun Gyo Lee, Tae Woo Kim, Eun Koo Lee |
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Kong Eye Center, Korea. euklee@chollian.net |
| 중심오목부근 모세혈관확장증의 임상양상 및 치료 |
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장용익 ( Jang Yong Ig ) , 이준교 ( Lee Jun Gyo ) , 김태우 ( Kim Tae U ) , 이은구 ( Lee Eun Gu ) |
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| Abstract |
PURPOSE
To investigate the clinical manifestations and treatments of parafoveal telangiectasis. METHODS: Twenty-two eyes of fifteen patients diagnosed as parafoveal telangiectasis were selected who had visited Kong Eye Center from September 1999 to August 2003 complaining of decreasing visual acuity. Visual acuity was checked and fluorescein angiography and optical coherence tomography were done. Authors treated six eyes of six patients experienced decreasing visual acuity due to macular edema with argon laser photocoagulation and one eye of one patient accompanying with choroidal neovascularization with photodynamic therapy. RESULTS: Among fifteen patients, group 1 cases were eight (1B eight) and group 2 cases were seven by classification of Gass and Blodi. Visual acuity improved in two eyes of six eyes and maintained in four eyes of six eyes and optical coherence tomography showed decrease of macular edema in six eyes of six patients all after argon laser photocoagulation. Visual acuity improved and optical coherence tomography showed decrease of macular edema in one eye of one patient after photodynamic therapy. CONCLUSIONS: Group 1 cases were more than group 2 cases. Argon laser photocoagulation can be effectively used to treat decreasing visual acuity due to macular edema in parafoveal telangiectasis patients. Photodynamic therapy seems to be effective in parafoveal telangiectasis accompanied with choroidal neovascularization but we think that additional studies with more cases are needed. |
| Key Words:
Argon laser photocoagulation;Optical coherence tomography;Parafoveal telangiectasis;Photodynamic therapy |
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