Tamoxifen Retinopathy or Macular Telangiectasia Type 2: Multicolor Imaging to Clinch the Diagnosis

他莫昔芬视网膜病变或黄斑毛细血管扩张症2型:多色成像确诊

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Abstract

PURPOSE: To highlight the role of multicolor imaging to differentiate between the two cases presented, macular telangiectasia type 2 (MT 2) and tamoxifen retinopathy (TR) which have very similar phenotypical properties and can often present a diagnostic dilemma. METHODS: Retrospective analysis of 2 cases, MT 2 and TR, presenting to a tertiary eye care center in Eastern India. RESULTS: Both the cases show crystalline deposits and similar optical coherence tomography findings. However, MT 2 shows increased reflectance at the perifoveal region on multicolor imaging, while TR shows the same at the foveal region. CONCLUSION: Differentiating early TR and MT 2 can be challenging, and multicolor imaging, especially blue reflectance, can be very helpful in solving the dilemma and clinching the diagnosis.

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