Morphologic features of group 2A idiopathic juxtafoveolar retinal telangiectasis in three-dimensional optical coherence tomography.

Abstract

To investigate morphologic features of group 2A idiopathic juxtafoveolar retinal telangiectasis (IJRT) with three-dimensional optical coherence tomography (OCT). Observational case series. We performed OCT ophthalmoscopy on six eyes of three consecutive patients with group 2A IJRT. Thin cystic low-intensity space within inner and outer retinal layers was detected with the longitudinal B-scan through the fovea in five eyes. Partial loss of highly reflective line considered as the boundary between photoreceptor inner segments and outer segments was also detected. The transverse C-scan provided en-face images of the low-intensity space shown with the B-scan, if not entirely. These morphologic alterations appeared not to correspond with the staining observed in the late phases of fluorescein angiography. The OCT ophthalmoscope could visualize morphologic alterations indicating degeneration or atrophy of neurosensory retina, including photoreceptor layers. These alterations may play a role in the pathogenesis of group 2A IJRT.