Fundus autofluorescence features in the inflammatory maculopathies. 2014

Cecilia S Lee, and Aaron Y Lee, and Farzin Forooghian, and Chris S Bergstrom, and Jiong Yan, and Steven Yeh
Section of Vitreoretinal Disease and Surgery, Department of Ophthalmology, Emory Eye Center, Emory University, Atlanta, GA, USA.

OBJECTIVE To describe the fundus autofluorescence (FAF) features of the inflammatory maculopathies and develop a quantification method for FAF analysis. METHODS This is a retrospective, consecutive case series of patients with inflammatory maculopathies from two tertiary centers. The clinical findings, demographics, and FAF imaging characteristics were reviewed. Foveal autofluorescence (AF) was analyzed. Median and standard deviation (SD) of foveal AF intensity were measured. RESULTS Thirty eyes of 15 patients were evaluated with both qualitative and quantitative FAF analysis. In acute macular neuroretinopathy, the active phase showed foveal hypoautofluorescence, which became hypoautofluorescent with resolution. In acute posterior multifocal placoid pigment epitheliopathy, multiple lesions with hypoautofluorescent centers with hyperautofluorescent borders were observed in active disease and became hypoautofluorescent with disease convalescence. In multifocal choroiditis and punctate inner choroiditis, the active hyperautofluorescent lesions progressed to inactive, hypoautofluorescent scars. Active serpiginous choroiditis showed hyperautofluorescent borders adjacent to a helicoid-shaped, hypoautofluorescent scar. Active unilateral acute idiopathic maculopathy (UAIM) showed a complex pattern of hypo- and hyperautoflourescence in the macula. The median foveal AF was the greatest in acute macular neuroretinopathy and UAIM among the maculopathies, while the greatest SD of foveal AF intensity was observed in UAIM. CONCLUSIONS The active phase of the majority of inflammatory maculopathies was characterized by hyperautofluorescent lesions. Increased SD of foveal AF correlated with a mixture of hypo-and hyperautoflourescence. Median and SD may be useful metrics in foveal AF and quantifiable values that may be assessed over time as a disease process evolves. Improvements in quantification methods of FAF imaging may allow us to objectively evaluate posterior uveitis.

UI MeSH Term Description Entries

Related Publications

Cecilia S Lee, and Aaron Y Lee, and Farzin Forooghian, and Chris S Bergstrom, and Jiong Yan, and Steven Yeh
January 2018, Advances in experimental medicine and biology,
Cecilia S Lee, and Aaron Y Lee, and Farzin Forooghian, and Chris S Bergstrom, and Jiong Yan, and Steven Yeh
June 2007, Ophthalmology,
Cecilia S Lee, and Aaron Y Lee, and Farzin Forooghian, and Chris S Bergstrom, and Jiong Yan, and Steven Yeh
April 1978, Transactions of the ophthalmological societies of the United Kingdom,
Cecilia S Lee, and Aaron Y Lee, and Farzin Forooghian, and Chris S Bergstrom, and Jiong Yan, and Steven Yeh
March 2021, Progress in retinal and eye research,
Cecilia S Lee, and Aaron Y Lee, and Farzin Forooghian, and Chris S Bergstrom, and Jiong Yan, and Steven Yeh
September 2015, Klinische Monatsblatter fur Augenheilkunde,
Cecilia S Lee, and Aaron Y Lee, and Farzin Forooghian, and Chris S Bergstrom, and Jiong Yan, and Steven Yeh
April 2017, JAMA ophthalmology,
Cecilia S Lee, and Aaron Y Lee, and Farzin Forooghian, and Chris S Bergstrom, and Jiong Yan, and Steven Yeh
July 2022, Indian journal of ophthalmology,
Cecilia S Lee, and Aaron Y Lee, and Farzin Forooghian, and Chris S Bergstrom, and Jiong Yan, and Steven Yeh
July 2004, American journal of ophthalmology,
Cecilia S Lee, and Aaron Y Lee, and Farzin Forooghian, and Chris S Bergstrom, and Jiong Yan, and Steven Yeh
March 2024, Retina (Philadelphia, Pa.),
Cecilia S Lee, and Aaron Y Lee, and Farzin Forooghian, and Chris S Bergstrom, and Jiong Yan, and Steven Yeh
April 2013, JAMA ophthalmology,
Copied contents to your clipboard!