Peculiar manifestation of macular telangiectasia type 2.
OBJECTIVE
The purpose of this study was to report two unusual cases of macular telangiectasia type 2 with pronounced asymmetric clinical presentations.


METHODS
Two patients. Observational case study.


RESULTS
Two patients presented with acute complaints of decreased vision and metamorphopsia in one eye. Each was found to have unilateral, juxtafoveal, subretinal neovascularization and minimal or no clinical evidence of macular telangiectasia type 2 in the fellow eye. In one patient, clinical and angiographic findings of macular telangiectasia type 2 were observed in the previously unaffected eye 13 years after the initial presentation.


CONCLUSIONS
Macular telangiectasia type 2 is a bilateral condition, but in rare cases, significant asymmetry between the two eyes concerning disease severity can occur, potentially delaying diagnosis and management.
From the *Vitreous, Retina, Macula Consultants of New York, New York, New York; †Ophthalmology, Department of Neuroscience, University Politecnica of Marche, Ancona, Italy; and ‡Department of Ophthalmology, Columbia University, New York, New York.
Claudia
C
Bruè
Joseph J
JJ
Tseng
Irene
I
Barbazetto
Luiz H
LH
Lima
Lawrence A
LA
Yannuzzi