Macular telangiectasia type 2 (MacTel) in a 34-year-old patient

Heleen Nicolai, Mieke Wirix, Leigh Spielberg, Anita Leys

    Research output: Contribution to journalLetterpeer-review


    We report macular telangiectasia type 2 (MacTel) in a 34-year-old man, the youngest patient so far published with MacTel type 2. The patient presented with metamorphopsia and impaired reading ability. Diagnosis was based on bilateral abnormal macular autofluorescence, perifoveal telangiectasia with fluorescein angiographic hyperfluorescence without cystoid oedema, a small foveal avascular zone, asymmetric configuration of the foveal pit, disruptions in the inner segment/outer segment layer and hyper-reflective haze and spots in the outer nuclear layer. Although MacTel usually manifests with a slowly progressive decrease in visual acuity in the fifth to seventh decades of life, younger patients may occasionally be diagnosed with the disease. Awareness of subtle signs of the condition is essential for early diagnosis.

    Original languageEnglish
    JournalBMJ Case Reports
    Publication statusPublished - 23 Sept 2014


    • Adult
    • Diagnosis, Differential
    • Fluorescein Angiography
    • Humans
    • Macula Lutea/pathology
    • Male
    • Retinal Telangiectasis/diagnosis
    • Tomography, Optical Coherence


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