Phakic Cystoid Macular Edema Secondary to Idiopathic Macular Telangiectasia Type 1 Responsive to Topical Anti-Inflammatory Agents

Abstract

Topical steroidal and non-steroidal anti-inflammatory agents may lead to long-term resolution of cystoid macular edema secondary to idiopathic macular telangiectasia type 1.

Bilateral Type 1 Idiopathic Macular Telangiectasia in a Female Patient: Multimodal Imaging of a Rare Presentation

“…According to this case and previous studies [1][2][3]5], it seems bilateral involvement and female sex cannot rule out the diagnosis of type 1 IMT. Moreover, typical features of type 1 IMT in fundus examination may not be seen in all cases and we should consider other modalities like FA and OCTA alongside fundus examination for making the proper diagnosis.…”

“…In Gass and Blodi's study [ 1 ], telangiectasia was present bilaterally in 1 male case among 8 patients of IMT. Finally, Dunn et al [ 5 ] also reported a male patient with bilateral type 1 IMT complicated by cystoid macular edema.…”

“…On fluorescein angiography (FA), telangiectatic vessels are visible, filling promptly in both superficial and deep juxtafoveolar capillary plexus. Minimal non-perfusion or capillary ischemia and cystic or non-cystic macular edema as late intraretinal staining and leakage can also be seen [ 2 , 4 , 5 ].…”

Progressive resolution of exudation from perifoveal vascular anomalous complex: A possible role of diclofenac therapy?

“…Interestingly, topical NSAIDs together with topical steroids may lead to long-term resolution of cystoid macular edema secondary to idiopathic macular telangiectasia type 1. 17 …”