Effectiveness of dynamic phototherapy in the management of telangiectatic capillaries: A case series

PurposeTelangiectatic capillaries (TelCaps) are large capillary microaneurysms that can be found in diabetic patients. Focal laser photocoagulation is the standard treatment for these lesions. In case of a lesion too close to the fovea, there is a risk of central scotoma and conventional laser should not be used. In this case, dynamic phototherapy (PDT) can be discussed.Case reportTwo patients with perifoveal TelCaps associated with diabetic macular edema were treated with PDT. There was persistent central macular edema in spite of a well-executed treatment with intravitreal injections (IVT). Both visual acuity and central macular thickness improved after PDT. This therapy seems to be a possible option in the absence of another therapeutic solution for the treatment of perifoveal TelCaps with promising results should be noted despite the difficulty accessibility to Verteporfin.ConclusionThe management of perifoveal TelCaps is complex due to their impact on visual acuity, the therapeutic burden for patients, as well as the potential complications associated with focal laser. In the absence of other therapeutic options, the use of PDT may prove relevant in this indication.