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Peer-reviewedCC BY-NC-NDTaiwan Journal of Ophthalmology

Choroidal vascularity index changes in proliferative and nonproliferative macular telangiectasia type 2

Abstract

PURPOSE: This study aimed to evaluate the choroidal vascularity index (CVI) in patients with nonproliferative and proliferative macular telangiectasia type 2 (MacTel-2) compared to healthy controls, assess the impact of ellipsoid zone (EZ) disruption on CVI, and determine whether CVI measurements vary with different binarization areas. MATERIALS AND METHODS: CVIs from MacTel-2 eyes were compared to those of healthy controls. MacTel-2 eyes were categorized as proliferative or nonproliferative and further subdivided by the presence or absence of EZ disruption. CVI was measured in three regions: 1500 µm, 4000 µm, and the total macular choroidal area (TCA). Statistical analyses included paired samples t-tests, independent samples t-tests, and Mann–Whitney U-tests. P < 0.05 was considered statistically significant. RESULTS: This study included 90 eyes each from MacTel-2 patients and healthy controls. CVIs did not significantly differ between eyes with and without EZ disruption in either MacTel-2 group (P > 0.05). CVIs beneath EZ-disrupted areas were also comparable to intact zones (P > 0.05). No significant CVI difference was observed between nonproliferative and proliferative MacTel-2 eyes (P > 0.1). However, both the groups had significantly lower CVIs than healthy controls across all measured areas (P < 0.001 for nonproliferative and P < 0.05 for proliferative). CVI values were consistent across all binarization areas (P > 0.1). CONCLUSION: EZ disruption does not affect CVI. CVIs were similar in nonproliferative and proliferative MacTel-2, both lower than in healthy eyes. CVI also remained consistent across different binarization areas, confirming its reliability regardless of area size.

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BibTeX
@article{ercan2026choroidal,
  title = {{Choroidal vascularity index changes in proliferative and nonproliferative macular telangiectasia type 2}},
  author = {Zeynep Eylul Ercan and Gulsah Gokgoz and İmren Akkoyun and Gursel Yilmaz},
  journal = {Taiwan Journal of Ophthalmology},
  year = {2026},
  month = jul,
  doi = {10.4103/tjo.tjo-d-25-00092},
  url = {https://doi.org/10.4103/tjo.tjo-d-25-00092},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Choroidal vascularity index changes in proliferative and nonproliferative macular telangiectasia type 2
AU  - Zeynep Eylul Ercan
AU  - Gulsah Gokgoz
AU  - İmren Akkoyun
AU  - Gursel Yilmaz
PY  - 2026
DA  - 2026/07/01
JO  - Taiwan Journal of Ophthalmology
DO  - 10.4103/tjo.tjo-d-25-00092
UR  - https://doi.org/10.4103/tjo.tjo-d-25-00092
AB  - PURPOSE: This study aimed to evaluate the choroidal vascularity index (CVI) in patients with nonproliferative and proliferative macular telangiectasia type 2 (MacTel-2) compared to healthy controls, assess the impact of ellipsoid zone (EZ) disruption on CVI, and determine whether CVI measurements vary with different binarization areas. MATERIALS AND METHODS: CVIs from MacTel-2 eyes were compared to those of healthy controls. MacTel-2 eyes were categorized as proliferative or nonproliferative and further subdivided by the presence or absence of EZ disruption. CVI was measured in three regions: 1500 µm, 4000 µm, and the total macular choroidal area (TCA). Statistical analyses included paired samples t-tests, independent samples t-tests, and Mann–Whitney U-tests. P < 0.05 was considered statistically significant. RESULTS: This study included 90 eyes each from MacTel-2 patients and healthy controls. CVIs did not significantly differ between eyes with and without EZ disruption in either MacTel-2 group (P > 0.05). CVIs beneath EZ-disrupted areas were also comparable to intact zones (P > 0.05). No significant CVI difference was observed between nonproliferative and proliferative MacTel-2 eyes (P > 0.1). However, both the groups had significantly lower CVIs than healthy controls across all measured areas (P < 0.001 for nonproliferative and P < 0.05 for proliferative). CVI values were consistent across all binarization areas (P > 0.1). CONCLUSION: EZ disruption does not affect CVI. CVIs were similar in nonproliferative and proliferative MacTel-2, both lower than in healthy eyes. CVI also remained consistent across different binarization areas, confirming its reliability regardless of area size.
SN  - 2211-5056
SN  - 2211-5072
ER  -