A rare case of idiopathic parafoveal telangiectasia associated with central serous chorioretinopathy

Manuscript received: 06.03.17; Revision accepted: 23.05.17 A 39‐year‐old female presented with gradual diminution of vision in her both eyes. She had been diagnosed with choroidal neovascularization (CNV) in the left eye in past and had received three anti‐vascular endothelial growth factor (anti‐VEGF) injections. Best‐corrected visual acuity was 20/60 in both eyes. Anterior segment examination was unremarkable in both eyes. Fundus of the right eye showed subretinal hemorrhage, retinal pigment epithelium (RPE) atrophy, and right‐angled venule at macula along with RPE alterations near the superior arcade [Fig. 1a]. Left eye showed RPE atrophy with pigment epithelial detachment (PED) [Fig. 1b]. Fluorescein angiography (FA) of the right eye showed parafoveal telangiectatic vessels with leakage characteristic of parafoveal telangiectasia (PFT) along with early hyperfluorescence with late leakage at the temporal margin of the fovea. Right eye also showed focal leak near superior arcade and multiple window defects suggestive of central serous chorioretinopathy (CSCR) [Fig. 2a and b]. FA of the left eye revealed window defects, PED, and scarring [Fig. 2c].