Systematic Analysis of Wide-Field Fundus Autofluorescence (FAF) Imaging in Posterior Uveitis
- 21 October 2013
- journal article
- Published by Taylor & Francis Ltd in Current Eye Research
- Vol. 39 (2), 164-171
- https://doi.org/10.3109/02713683.2013.834938
Abstract
Purpose: To evaluate wide-field fundus autofluorescence (FAF) in patients with uveitis with retinal or chorioretinal involvement. Materials and methods: We included 78 study eyes in this prospective study. Best-corrected visual acuity, a full clinical examination, wide-field green-light FAF and composite color, green and red laser separation fundus imaging with Optomap SLO were performed. In a systematic analysis, the number, extension and margins of central and peripheral retinal or chorioretinal alterations, scars and infiltrates in infectious and non-infectious uveitic study eyes were evaluated. Wide-field FAF and color fundus imaging results were compared regarding their diagnostic properties. Results: Nine out of 78 study eyes were diagnosed with infectious, 69 cases with non-infectious uveitis. Six infectious uveitic study eyes had changes of the peripheral fundus compared with 48 of 69 non-infectious uveitic eyes. In 33 (infectious versus non-infectious: 4 versus 29) cases, wide-field FAF images revealed more retinal or chorioretinal alterations or pathologies with a farther extended demarcation than wide-field composite color fundus imaging. Eleven out of 69 non-infectious study eyes were diagnosed with vasculitis which could be more precisely evaluated with wide-field FAF than wide-field composite color, green or red light filtered fundus imaging. Conclusions: Non-invasive wide-field FAF detects more retinal or chorioretinal involvement in patients with posterior uveitis than seen in color imaging and thus is useful in diagnosis and follow-up of uveitic patients.Keywords
This publication has 22 references indexed in Scilit:
- Pharmacokinetics and Pharmacodynamics of a Sustained-Release Dexamethasone Intravitreal ImplantInvestigative Ophthalmology & Visual Science, 2011
- New Developments in Corticosteroid Therapy for UveitisOphthalmologica, 2010
- Biodegradable Intraocular Therapies for Retinal DisordersDrugs & Aging, 2010
- Fundus Autofluorescence Imaging of the White Dot SyndromesJAMA Ophthalmology, 2010
- Fundus Autofluorescence in Multifocal Choroiditis and PanuveitisAmerican Journal of Ophthalmology, 2008
- FUNDUS AUTOFLUORESCENCE IMAGINGRetina, 2008
- Towards metabolic mapping of the human retinaMicroscopy Research and Technique, 2007
- Ophthalmic fundus imaging: today and beyondAmerican Journal of Ophthalmology, 2004
- In vivo measurement of time-resolved autofluorescence at the human fundusJournal of Biomedical Optics, 2004
- Fundus autofluorescence and age-related macular degenerationOphthalmology, 2003