UNIVERSITY OPHTHALMOLOGY CONSULTANTS

 

CASE OF THE MONTH

CASE #25

 

 
FLUORESCEIN ANGIOGRAM SERIES OS
(July 27, 2001)
fundus OS   FA: early phase

FUNDUS IMAGE OS. Macula with whitish lesions at the
level of the RPE ranging from 300 to 500 µm in diameter.
 

EARLY PHASE ANGIOGRAM. Choroidal perfusion defects and an early wreath-like pattern of hyperfluorescence correspond almost uniformly with areas of RPE-level whitening seen on the fundus photograph on the left.
FA: late venous phase   FA: recirculation phase

LATE VENOUS FILLING PHASE. Areas of RPE-level whitening demonstrate a wreath-like pattern of hyperfluorescence at the perimeter
of the RPE-level lesions.

RECIRCULATION PHASE. Hyperfluorescence and leakage of dye from the optic nerve head.

 

What do the B-scans show?
       
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