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Fig. 1 | International Journal of Retina and Vitreous

Fig. 1

From: Idiopathic macular telangiectasis type 2 and co-existent diabetic retinopathy

Fig. 1

A 56 year old female presented with BCVA of 20/40 (OD) and 20/30 (OS) respectively. Right eye (OD) showed perifoveal greying with RPE hyperplasia plaques temporally (white arrow) and few haemorrhages and microaneurysms (black arrow) (a). Left eye (OS) showed perifoveal greying and few intraretinal exudates with few dot hemorrhages (black arrows) (b); red free images in OD better delineated the plaques (white arrows) and haemorrhages (black arrows) (c). Red free images of OS similarly better delineated the haemorrhages and microaneurysms (black arrows) (d). Two years later, BCVA remained stable bilaterally. OD showed an increase in number of plaques (white arrow) whereas haemorrhages and microaneurysms (black arrow) remained similar to the previous visit. SD-OCT showed foveal thinning with disruption of ellipsoid junction with inner retinal hyperreflective lesions (black arrow) corresponding to RPE hyperplasia plaques (e). Similarly OS showed the appearance of few plaques (white arrow) not noted earlier with perisstent background haemorrhages (black arrow). SD-OCT Macula showed foveal thinning with disruption of ellipsoid junction (f). At her last visit two years later BCVA in both eyes had dropped to 20/160 and 20/60 respectively. OD showed an extensive increase in number and density of plaques (white arrow) along with near similar number of haemorrhages and microaneurysms (black arrow) (g). OS showed an increase in number and density of plaques (white arrow) with no significant increase in the number of haemorrhages and microaneurysms (black arrow) (h). SD-OCT of OD showed progressive foveal atrophy and further loss of ellipsoid junction besides the hyperreflectivity of the plaques (white arrow) (i). SD-OCT of OS also showed an increase in area of defect in ellipsoid junction along with hyperreflective lesions (white arrow) of the plaques in the inner retina (j)

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