دورية أكاديمية

Case report: internal limiting membrane drape sign masking by foveal detachment in macular telangiectasia type 2

التفاصيل البيبلوغرافية
العنوان: Case report: internal limiting membrane drape sign masking by foveal detachment in macular telangiectasia type 2
المؤلفون: Abdul-Rahman, Anmar
المصدر: BMC Ophthalmology ; volume 20, issue 1 ; ISSN 1471-2415
بيانات النشر: Springer Science and Business Media LLC
سنة النشر: 2020
مصطلحات موضوعية: Ophthalmology, General Medicine
الوصف: Background Internal limiting membrane (ILM) drape sign is an important OCT characteristic of Macular telangiectasia type 2 (MacTel 2). Described here is a case where masking of the ILM drape sign occurred with bilateral foveal detachments in a patient with MacTel 2. Case presentation A 64-year old female was diagnosed with MacTel 2, four years prior to the current presentation on the basis of an OCT demonstrating bilateral ILM drape sign. Fluorescein angiography showed bilateral dilated, ectatic capillaries and late phase dye leak. At the current presentation there was bilateral gradual visual impairment over two months due to bilateral foveal detachments. Treatment with intravitreal Bevacizumab resulted in unmasking of the pre-existing ILM drape sign at 12 weeks. Visual acuity was reduced to counting fingers in the left eye with the neovascular membrane as a consequence of sub-retinal fibrosis, while the right eye maintained a vision of 6/12. A difference in the stage of the disease at presentation determined the long-term visual outcome after seven years of observation. Conclusion Foveal detachment can influence the OCT detectability of pre-existing foveal cystoid lesions. Visual prognosis at the final follow up was consistent with the interocular disparity of the disease stage at presentation.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1186/s12886-020-01485-y
DOI: 10.1186/s12886-020-01485-y.pdf
DOI: 10.1186/s12886-020-01485-y/fulltext.html
الإتاحة: https://doi.org/10.1186/s12886-020-01485-yTest
حقوق: https://creativecommons.org/licenses/by/4.0Test ; https://creativecommons.org/licenses/by/4.0Test
رقم الانضمام: edsbas.9B00E1EC
قاعدة البيانات: BASE