April 2010
Volume 51, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2010
Importance of Fundus Autofluorescence (FAF) in a Series of Misdiagnosed Cases Involving Choroidal, RPE, and Retinal Pathology
Author Affiliations & Notes
  • K. Stafeeva
    Ophthalmology, University of Colorado, Denver, Colorado
  • C. Pan
    Ophthalmology, University of Colorado, Denver, Colorado
  • C. Patel
    Ophthalmology, University of Colorado, Denver, Colorado
  • J. Olson
    Ophthalmology, University of Colorado, Denver, Colorado
  • N. Mandava
    Ophthalmology, University of Colorado, Denver, Colorado
  • S. Oliver
    Ophthalmology, University of Colorado, Denver, Colorado
  • H. Quiroz-Mercado
    Denver Health Medical Center, Denver, Colorado
  • Footnotes
    Commercial Relationships  K. Stafeeva, None; C. Pan, None; C. Patel, None; J. Olson, None; N. Mandava, None; S. Oliver, None; H. Quiroz-Mercado, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science April 2010, Vol.51, 306. doi:
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    • Get Citation

      K. Stafeeva, C. Pan, C. Patel, J. Olson, N. Mandava, S. Oliver, H. Quiroz-Mercado; Importance of Fundus Autofluorescence (FAF) in a Series of Misdiagnosed Cases Involving Choroidal, RPE, and Retinal Pathology. Invest. Ophthalmol. Vis. Sci. 2010;51(13):306.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract
 
Purpose:
 

To show the importance of noninvasive imaging with fundus autofluorescence (FAF) in a series of previously misdiagnosed cases involving choroidal, RPE, and retinal pathology.

 
Methods:
 

Seven cases were retrospectively reviewed. Fundus photos were obtained using the Zeiss FF450 plus camera. Fundus autofluorescence (FAF) images were obtained using the Heidelberg Spectralis HRA+OCT.

 
Results:
 

All 7 cases were originally misdiagnosed by primary eyecare providers. Fundus autofluorescence (FAF) imaging supplemented the information obtained based on the history and physical examination to establish the diagnosis in all 7 cases. Final diagnoses included bilateral diffuse uveal melanocytic proliferation (BDUMP) (see figure), retinitis pigmentosa ( 2 cases), multifocal choroiditis with panuveitis, acute posterior multifocal placoid pigment epitheliopathy (APMPPE), choroidal hemangioma, and idiopathic macular telangiectasia (MACTEL).

 
Conclusions:
 

Fundus autofluorescence (FAF) imaging can be a rapid, useful and complementary tool to establish the final diagnosis not only in diseases of RPE but also diseases of choroid and retina. It is a simple and noninvasive method that can lead to earlier diagnosis and treatment.  

 
Keywords: imaging/image analysis: clinical • retina • choroid 
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