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بسم الله الرحمن الرحيم. Fluorescein Angiography & OCT in Diabetic Retinopathy. F. Kianersi M.D 1388 / 11 / 30. Fluorescein Angiography. Hyper-Fluorescence Hypo-Fluorescence. Hyper - Fluorescence. Window Defect RPE Atrophy (Laser Schar) Anomalous Vessels
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بسم الله الرحمن الرحيم Fluorescein Angiography & OCT in Diabetic Retinopathy F. Kianersi M.D 1388 / 11 / 30
Fluorescein Angiography • Hyper-Fluorescence • Hypo-Fluorescence
Hyper - Fluorescence • Window Defect • RPE Atrophy (Laser Schar) • Anomalous Vessels • Dilation and Beading of Retinal Veins • Intraretinal Microvascular Abnormalities (IRMA) • NVE – NVD – FPE – FPD • Leakage • Into Tissue (Staining) • In a Preformed Space (Pooling)
Hypo - Fluorescence • Vascular Filling Defect • Nerve Fiber Layer Infarcts (Cotton-Wool Spots) • Arteriolar Abnormalities • Areas of Capillary Non-Perfusion (CNP) • Blockage • Pre-Retinal & Vitreous Hemorrhage • Intra-Retinal Hemorrhage & Hard Exudates • Sub-Retinal Hemorrhage & RPE Hypertrophy
Fluorescein Angiography is a valuable adjunct to diagnosis that supports and enhances, but does not replace, standard Clinical Examination.
One exception to this rule is found in patients with: Dense Asteroid Hyalosis obscuring the Posterior Pole.
Microaneurysm Non-Cystoid Retinal Leakage
Microaneurysms & Hard Exudates Diffuse Cystoid Retinal Leakage
Blockage Opacities of the Refractive Media and Vitreous
Blockage Pre-Retinal Hemorrhages
Blockage Pre-Retinal Gliosis and Fibrosis
Blockage Pre-Retinal and Intra-Retinal Gliosis and Fibrosis
Blockage Intra-Retinal Hemorrhages
Blockage Hard Exudates
Blockage RPE Hypertrophy after Photo-Coagulation
Vascular Filling Defect Macular Ischemia
Mixed Maculopathy • Early frames: Numerous Microaneurysms & CNP. • Later frames: Diffuse Leakage.
Vascular Filling Defect Cotton Wool Spot
Vascular Filling Defect Capillary Non-Perfusion (CNP)
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