Enliven: Clinical Ophthalmology Research

Visual and Anatomic Outcomes in Eyes with Idiopathic Juxtafoveal Macular Telangiectasia (MacTel) and Full Thickness Macular Holes Undergoing Surgical Repair
Author(s): Poorav Patel, MD, MHS, and Christina Flaxel, MD

Purpose: To report visual and anatomic outcomes in eyes with idiopathic juxtafoveal telangiectasia (MacTel) type 2 undergoing small gauge vitrectomy surgery with gas tamponade for full thickness macular holes (FTMH).

Methods: Medical records of all adult patients with the diagnoses code for retinal telangiectasia were reviewed. Preoperative and postoperative data were obtained including visual acuity and OCT imaging. These cases were then compared with historical controls that also underwent surgical repair.

Results: Between the years of 2003-2013 34 patients met the inclusion criteria. Of the 34 patients, only 4 patients developed a FTMH. Of the 4 patients, 2 underwent surgical repair. Of these surgical cases one hole closed and one hole remained open at final follow-up.

Conclusion: In our cases of FTMH in patients with MacTel type 2, we had mixed results with hole closure and preservation of visual acuity. When adding our cases to the current cases in literature, the hole closure percentage is 47% with stabilization of visual acuity with or without surgical repair. It seems reasonable in these cases to observe unless visual acuity is significantly diminished.