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Idiopathic juxtafoveolar retinal telangiectasis group 2A: an unusual macular hyperpigmentation in two patients

Background: Idiopathic juxtafoveolar retinal telangiectasis (IJT) group 2A occurs in the 5th or 6th decade of life and affects both sexes. The visual loss is associated with characteristic fundus findings that include pigment deposition in the macula. Purpose: To describe two cases with uncommon macular pigmentation. Method: Case report and discussion. Results: We demonstrated heavy pigment deposition in the macula of two patients who were previously misdiagnosed as having macular corioretinal scar. Pigment deposition enhancement was shown in the follow-up period of eight years in one patient. Conclusion: Group 2A IJT diagnosis may be difficult and should be considered based on the clinical features of the pigment deposits in the macula.

Telangiectasis; Fovea centralis; Macula lutea; Pigment epithelium of eye; Retinal neovascularization; Fluorescein angiography; Fundus oculi; Differential diagnosis; Case report


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