{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:12:18Z","timestamp":1789603938250,"version":"build-2803163510"},"reference-count":35,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T00:00:00Z","timestamp":1749513600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009851","name":"Canon Foundation for Scientific Research","doi-asserted-by":"publisher","award":["2024\u20100034"],"award-info":[{"award-number":["2024\u20100034"]}],"id":[{"id":"10.13039\/100009851","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The identification of telangiectatic capillaries (TelCaps) in chronic macular oedema (ME) resistant to conventional intravitreal injections (IVIs) has renewed interest in focal laser treatment. However, the indications and modalities of this laser treatment remain to be clarified.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A modified Delphi approach was used to establish a consensus among French macular laser specialists regarding recommendations on assessment of TelCaps, indications for laser treatment, treatment procedures and follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Presence of TelCaps should be considered in cases of recurrent vascular oedema that do not respond, or partially respond, to IVIs. A strong consensus has emerged on treating TelCaps with laser when they are located \u22651000\u2009\u03bcm from the fovea and associated with thickening of the surrounding retina, usually in combination with IVIs. For TelCaps located &lt;1000\u2009\u03bcm from the centre, IVIs alone were preferred. ICG\u2010guided laser treatment was advised to target TelCaps but was not considered mandatory if TelCaps were visible on fundus photography or OCT. Assessment of the effectiveness of laser treatment should be based on reduction in macular thickness on OCT after 3\u2009months, before a second laser session may be considered. Although experts have recommended the use of small, short\u2010duration impacts allowing greying of the lesion, no consensus has been reached on the optimal numerical parameters for the laser procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study provides precise guidelines on laser treatment for vascular ME in cases of TelCaps, and emphasizes the need for standardized lesion selection and laser parameters to ensure safe and effective ME management.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.17535","type":"journal-article","created":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T10:57:29Z","timestamp":1749725849000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Consensus\u2010based recommendations for indications and procedures in retinal laser treatment of Telangiectatic capillaries (<scp>TelCaps<\/scp>) in vascular macular oedema: A Delphi study"],"prefix":"10.1111","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3127-8617","authenticated-orcid":false,"given":"Marie\u2010No\u00eblle","family":"Delyfer","sequence":"first","affiliation":[{"name":"Univ Bordeaux, INSERM, BPH  Bordeaux France"},{"name":"Service d'Ophtalmologie Centre Hospitalier Universitaire de Bordeaux  Bordeaux France"},{"name":"FRCRNet\/FCRIN Network  Bordeaux, Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Fran\u00e7ois","family":"Girmens","sequence":"additional","affiliation":[{"name":"FRCRNet\/FCRIN Network  Bordeaux, Paris France"},{"name":"Centre Hospitalier National Des Quinze\u2010Vingts  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corinne","family":"Dot","sequence":"additional","affiliation":[{"name":"Service d'Ophtalmologie Centre Hospitalier Universitaire Edouard Herriot  Lyon France"},{"name":"French Military Heath Academy of Val de Gr\u00e2ce  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Bennani","sequence":"additional","affiliation":[{"name":"Clinique Rachidi  Casablanca Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie\u2010Benedicte","family":"Rougier","sequence":"additional","affiliation":[{"name":"Service d'Ophtalmologie Centre Hospitalier Universitaire de Bordeaux  Bordeaux France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1700-8570","authenticated-orcid":false,"given":"St\u00e9phanie","family":"Baillif","sequence":"additional","affiliation":[{"name":"Service d'Ophtalmologie, H\u00f4pital Universitaire Pasteur 2 Universit\u00e9 C\u00f4te d'Azur  Nice France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascale","family":"Massin","sequence":"additional","affiliation":[{"name":"COSS\u2014Centre Ophtalmologique Sorbonne St Michel  Paris France"},{"name":"Service d'Ophtalmologie, H\u00f4pital Lariboisi\u00e8re, AP\u2010HP Nord Universit\u00e9 Paris\u2010Cit\u00e9  Paris France"},{"name":"Centre Ophtalmologique Breteuil  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Gualino","sequence":"additional","affiliation":[{"name":"Service d'Ophtalmologie, H\u00f4pital Lariboisi\u00e8re, AP\u2010HP Nord Universit\u00e9 Paris\u2010Cit\u00e9  Paris France"},{"name":"Clinique Honor\u00e9 Cave  Montauban France"},{"name":"Service d'Ophtalmologie Centre Hospitalier Universitaire de Toulouse  Toulouse France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel","family":"Paques","sequence":"additional","affiliation":[{"name":"FRCRNet\/FCRIN Network  Bordeaux, Paris France"},{"name":"Centre Hospitalier National Des Quinze\u2010Vingts  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8335-5223","authenticated-orcid":false,"given":"B\u00e9n\u00e9dicte","family":"Dupas","sequence":"additional","affiliation":[{"name":"FRCRNet\/FCRIN Network  Bordeaux, Paris France"},{"name":"COSS\u2014Centre Ophtalmologique Sorbonne St Michel  Paris France"},{"name":"Service d'Ophtalmologie, H\u00f4pital Lariboisi\u00e8re, AP\u2010HP Nord Universit\u00e9 Paris\u2010Cit\u00e9  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,10]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"AAO Preferred Practice Pattern (PPP) Retina\/Vitreous Panel Hoskins Center for Quality Eye Care. 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