Gass and Bodi reviewed retrospectively 140 patients with juxta foveal telangiectasis based on bio microscopic and fluorescein angiographic findings. They proposed a classification into three groups for all these patients.
Group-I
39 male patients, Non familial, visible telangiectasis and intra retinal exudation. Unilateral, developmental
Group-II
94 patients, juxta foveal telangiectasis, minimal exudation, superficial retinal crystalline deposits and right angle venules. Late in the course of the disease foveolar atrophy, intra retinal pigment plaques and SRNVM develop. Acquired during middle age and bilateral in 98%
Group-III
Bilaterally visible telangiectasis, minimal exudation and capillary occlusion, systemic disease.
Para foveal telangiectasis is often overlooked as the cause of retinal oedema, para foveal haemorrhages and exudates. In diabetes or hypertensive patients these signs are wrongly attributed to these diseases. Telangiectasis should be suspected especially if there are no peripheral haemorrhages or micro aneurysms in diabetic subjects. Laser photocoagulation has been useful in the treatment of macular edema in some cases of juxta foveal telangiectasis .
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