Fundus autofluorescence imaging in multifocal choroiditis: beyond the spots.

Ocul Immunol Inflamm

Department of Ophthalmology, Rabin Medical Center, Petach Tikva , Israel .

Published: October 2014

AI Article Synopsis

  • The study examines fundus autofluorescence (FAF) imaging and its relation to spectral-domain optical coherence tomography (SD-OCT) in patients with multifocal choroiditis/punctate inner choroidopathy (MFC/PIC).
  • Six patients underwent comprehensive imaging over the course of the disease, revealing both visible and hidden retinal damage.
  • Results showed that FAF imaging detected significant pathology in areas that seemed normal, correlating with major disruptions in retinal structure, which improved with corticosteroid treatment.

Article Abstract

Purpose: To describe fundus autofluorescence (FAF) imaging and its correlation to spectral-domain optical coherence tomography (SD-OCT) in retinal areas that appear clinically noninvolved in patients with multifocal choroiditis/punctate inner choroidopathy (MFC/PIC).

Methods: Six patients with MFC or PIC were evaluated during the disease course with multimodal imaging, which included fluorescein angiography, FAF imaging, indocyanine green angiography, and SD-OCT.

Results: Five patients had acute and/or scarred chorioretinal spots at presentation. Five patients had choroidal neovascularization. FAF imaging in all patients disclosed diffuse peripapillary and/or posterior-pole hyperautofluorescent plaques in areas that appeared clinically to be noninvolved. Corresponding SD-OCT scans revealed severe disruption of the inner segment/outer segment junction. Findings resolved with corticosteroid treatment Conclusions: FAF imaging of patients with MFC/PIC reveals extensive pathology beyond the clinically apparent spots. FAF findings highlight the areas of corresponding anatomic disruption of the photoreceptor-retinal pigment epithelium complex.

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Source
http://dx.doi.org/10.3109/09273948.2013.855797DOI Listing

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