Bilateral idiopathic retinal telangiectasis, progressive neuroradiological abnormalities and ectodermal dysplasia.
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The superficial lesions of the telangiectasia and the ectatic vessels in port-wine stains are a suitable aim for photocoagulation using yellow light lasers. Yellow light of the wavelength 575-585 nm provides good absorption by oxyhaemoglobin and only minimal damage to the overlying skin. After the use of continuous wave dye lasers, therapeutic progress has been achieved with pulsed lasers such as the copper vapour and flashlamp pumped dye lasers (FLPD). Advantages of the copper vapour laser are in the treatment of telangiectatic lesions that can be traced easily with the spot size of 100 microns, as well as in severe port-wine stains in adults (cobble-stone formation). The FLPD laser is feasible in the treatment of port-wine stains in children. Examples are shown of telangiectasia and port-wine stains of different grades and the resulting consequence for yellow light laser treatment.
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This article describes 3 cases of retinal telangiectasia, all presenting in middle age, affecting the macula. They have been investigated by means of fluorescein angiography and sucessfully treated by argon laser.
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A 46 year old woman presented with the CREST variety of systemic sclerosis and occult gastrointestinal bleeding due to vascular malformations of her stomach. Partial gastrectomy cured her anaemia. In systemic sclerosis, visceral angiography should be performed early when initial investigations have been negative.
A 20-year-old woman presented with a marked proliferative retinopathy of the entire central region of the retina in both eyes, with veil-like epiretinal gliovascular membranes and isolated spots of haemorrhaging. The outer region of the retina was unremarkable. Her 49-year-old mother showed perimacular telangiectases in both eyes. The vascular system of both patients were medically sound, and, in particular, the blood pressure, blood sugar and blood picture were normal, with no signs of heart, kidney, lung or liver disease. The first patient had been a heavy smoker for 6 months, and the second did not smoke. The 84-year-old mother of the second patient was blind following bilateral Horton's temporal arteritis.