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, 8 (3), 159-163

Ultra-widefield Angiography in the Diagnosis and Management of Uveitis

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Ultra-widefield Angiography in the Diagnosis and Management of Uveitis

Ning-Yi Hsia et al. Taiwan J Ophthalmol.

Abstract

Purpose: The aim of this study is to evaluate the clinical use of ultra-widefield angiography (UWFA) in uveitis.

Materials and methods: We showed the UWFA and traditional 55° fluorescein angiography (FA) of four cases with Eales' disease, idiopathic retinal vasculitis, aneurysms, and neuroretinitis syndrome, Behçet's disease, and idiopathic panuveitis in a tertiary medical center. Comparison of UWFA with traditional 55°FA in the diagnosis and management of uveitis and review of the literature is also presented.

Results: Ultra-widefield FA revealed far-peripheral vascular imaging. This information would not have been easily obtained from traditional FA. With more information of the peripheral retina, it may facilitate appropriate diagnosis and monitoring, and the management may be revised.

Conclusion: University of Western Australia played an important role to confirm the diagnosis of uveitis and to determine the corresponding treatment.

Keywords: Eales' disease; and neuroretinitis; aneurysms; idiopathic retinal vasculitis; intraocular tuberculosis; ultra-widefield fluorescein angiography; ultra-widefield indocyanine green angiography.

Conflict of interest statement

The authors declare that there are no conflicts of interests of this paper.

Figures

Figure 1
Figure 1
There was no remarkable finding in traditional 55° fluorescein angiography oculus dextrus (central montage image); however, the Heidelberg Spectralis ultra-widefield fluorescein angiography and ultra-widefield indocyanine green angiography showed peripheral retinitis and vasculitis
Figure 2
Figure 2
Traditional 55° fluorescein angiography showed retinal hemorrhage without obvious capillary nonperfusion oculus sinister (central montage image); however, the Heidelberg spectralis ultra-widefield angiography showed widespread peripheral vasculitis and multiple peripheral background hypofluorescence area corresponding to capillary nonperfusion and retinal NV
Figure 3
Figure 3
Traditional 55° fluorescein angiography showed focal retinal arteriole occlusion and retinal hemorrhage oculus dextrus (central montage image); however, the Heidelberg Spectralis ultra-widefield fluorescein angiography and ultra-widefield indocyanine green angiography showed widespread retinal vascular leakage
Figure 4
Figure 4
Traditional 55° fluorescein angiography showed focal retinal vascular leakage and retinal hemorrhage oculus dextrus (central montage image); however, the Optos® noncontact camera showed peripheral multifocal retinal lesions

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