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Preretinal hemorrhage as a presenting sign of idiopathic macular telangiectasia type 2

Authors Osher J, Sisk R, Petersen M

Received 22 February 2015

Accepted for publication 29 April 2015

Published 10 August 2015 Volume 2015:9 Pages 1417—1420


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 4

Editor who approved publication: Dr Scott Fraser

James M Osher,1,2 Robert A Sisk,1,2 Michael R Petersen2

1Department of Ophthalmology, University of Cincinnati, 2Cincinnati Eye Institute, Cincinnati, OH, USA

Abstract: We report three cases of idiopathic macular telangiectasia type 2 with temporally decentered preretinal hemorrhage as the presenting sign. The preretinal blood obscured the telangiectatic vessels such that the diagnosis was only evident by fluorescein angiography of the fellow eyes, which had near-normal vision. The preretinal hemorrhage was associated with Valsalva maneuver in one patient and with type 3 subretinal neovascularization in one patient. We speculate that the vascular dilations in idiopathic macular telangiectasia type 2 may increase patients’ susceptibility to rupture and hemorrhage with increased venous pressure.

Keywords: idiopathic macular telangiectasia, juxtafoveal telangiectasia, preretinal hemorrhage, Valsalva retinopathy

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