OCT angiography helps distinguish between proliferative macular telangiectasia type 2 and neovascular age-related macular degeneration

Fang Zheng, Elie H. Motulsky, João Rafael de Oliveira Dias, Edith Pérez de López, Giovanni Gregori, Philip J Rosenfeld

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2 Scopus citations

Abstract

BACKGROUND AND OBJECTIVE: To demonstrate the advantage of optical coherence tomography angiography (OCTA) for the diagnosis and management of proliferative macular telangiectasia type 2 (Mac-Tel2) masquerading as neovascular age-related macular degeneration (AMD). PATIENTS AND METHODS: This is an observational cases series. Three patients referred with the diagnosis of neovascular AMD were identified in this retrospective study. In addition to color fundus, fluorescein angiography, and spectral-domain OCT (SD-OCT) imaging, SD-OCTA (AngioPlex; Carl Zeiss Meditec, Dublin, CA) was performed. RESULTS: SD-OCTA revealed bilateral parafoveal retinal microvascular changes in three patients and unambiguously confirmed the diagnosis of Mac-Tel2. CONCLUSION: OCTA is an important tool for the correct diagnosis of MacTel2 in older patients with the concomitant or masquerading diagnosis of AMD.

Original languageEnglish (US)
Pages (from-to)303-312
Number of pages10
JournalOphthalmic Surgery Lasers and Imaging Retina
Volume49
Issue number5
DOIs
StatePublished - May 1 2018

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ASJC Scopus subject areas

  • Surgery
  • Ophthalmology

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