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Choroidal nevus
31yoChoroidal nevus is a benign pigmented lesion that requires multimodal evaluation to monitor for signs of growth or malignant transformation. It is typically not visible on blue FAF or in blue and green channels, but it appears clearly on Near-Infrared Reflectance (NIR) and the red channel, which provide high contrast and detail. These imaging methods are essential for assessing nevus stability over time.
#ChoroidalNevus #MultimodalImaging #NIR #RedChannel #RetinaImaging #retina #oftalmo #ophthalmology #oftalmologia #oftalmología #ophtalmologie #офтальмологія #офтальмология #οφθαλμολογία #retinography2024 #CIRRUS6000 #CLARUS700 #ZEISSRETINAWORKFLOW
Other Cases
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Peripheral retinoschisis
69Peripheral retinoschisis is a splitting of the retinal layers that can be mistaken for retinal detachment due to similar fundoscopic appearance. However, retinoschisis is generally more stable and lacks the subretinal fluid that characterizes a true detachment. Optical Coherence Tomography (OCT) and careful clinical examination help distinguish between the two, […]
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Degenerative myopia: Tessellated fundus
40In degenerative myopia, a tessellated (or tigroid) fundus appears due to thinning of the retinal pigment epithelium (RPE), which reveals the underlying choroidal vasculature as a mosaic pattern. Red channel imaging enhances the contrast of this pattern, providing clear visualization of these structural changes. #DegenerativeMyopia #TessellatedFundus #RedChannel #RetinaImaging #ChoroidalVasculature #retina […]
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Diabetic macular edema
79yoDiabetic macular edema (DME) is characterized by retinal thickening and fluid accumulation in the macula, often leading to vision loss. Fluorescein angiography (FA) is crucial for evaluating DME, as it reveals areas of capillary leakage, microaneurysms, and zones of ischemia. This imaging helps to assess the extent of vascular damage, […]
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AMD: Geographic atrophy
89In age-related macular degeneration (AMD) with geographic atrophy, fundus autofluorescence (FAF) is used to assess the extent of retinal pigment epithelium (RPE) loss. Areas of atrophy appear as hypoautofluorescent zones due to the absence of RPE, while hyperautofluorescent borders may indicate regions at risk for progression. FAF is essential for […]
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Proliferative Sickle cell retinopathy
15In proliferative sickle cell retinopathy, fluorescein angiography (FA) is crucial for identifying areas of peripheral ischemia and neovascularization, particularly the characteristic “sea fan” neovascular formations. FA highlights areas of non-perfusion and leakage, helping to map the extent of ischemia and guide interventions such as laser photocoagulation to prevent complications like […]
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Acquired Vitelliform Lesion
80yoAcquired Vitelliform Lesions (AVL) are characterized by subretinal yellowish deposits that can be assessed using multimodal imaging. Fundus autofluorescence (FAF) shows hyperautofluorescence in the area of the lesion due to lipofuscin accumulation. Optical Coherence Tomography (OCT) reveals these deposits as hyperreflective material between the retinal pigment epithelium (RPE) and photoreceptors, […]
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Degenerative myopia: Lacker cracks
40In degenerative myopia, lacquer cracks are breaks in Bruch’s membrane that appear as fine, yellowish lines in the posterior pole. These cracks are caused by excessive axial elongation and can lead to complications such as choroidal neovascularization. Fundus imaging helps detect these characteristic lesions, essential for monitoring progression and assessing […]
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Low-integrity retinal attachment
65Retinal reattachment in the wrong position can occur following surgery for retinal detachment, and fundus autofluorescence (FAF) can reveal hyperautofluorescent lines where the retinal vessels originally lay. These lines represent areas of misalignment and retinal pigment epithelium (RPE) stress, providing insight into the surgical outcome and potential functional impact. #RetinalReattachment […]
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Optic disc drusen
64yoOptic disc drusen are calcified deposits within the optic nerve head, often visible on fundus autofluorescence (FAF) as hyperautofluorescent spots. FAF imaging enhances the detection of drusen by highlighting their autofluorescent properties, aiding in differentiation from other optic nerve abnormalities and in monitoring potential complications like visual field defects. #OpticDiscDrusen […]
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Central Serous Chorioretinopathy
50yoIn Central Serous Chorioretinopathy (CSC), fundus autofluorescence (FAF) is used to assess retinal pigment epithelium (RPE) changes. Areas of active fluid accumulation may show hyperautofluorescence due to RPE stress, while chronic lesions exhibit hypoautofluorescence indicating RPE atrophy. FAF is valuable for monitoring CSC progression and guiding treatment. #CSC #FundusAutofluorescence #FAF […]
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Choroidal nevus
31yoChoroidal nevus is a benign pigmented lesion that requires multimodal evaluation to monitor for signs of growth or malignant transformation. It is typically not visible on blue FAF or in blue and green channels, but it appears clearly on Near-Infrared Reflectance (NIR) and the red channel, which provide high contrast […]
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AMD: Drusen and GA
67yoIn age-related macular degeneration (AMD), clinical findings includes confluent soft drusen, pigment migration, and RPE atrophy. Confluent soft drusen are large, yellowish deposits under the RPE, indicating a higher risk of progression. Pigment migration occurs as RPE cells move irregularly, and RPE atrophy presents as areas of cell loss, all […]