Slide 1

Slide 2

Fluorescein Angiography & OCT in Diabetic Retinopathy F. Kianersi M.D 1388 / 11 / 30

Slide 3

Hyper-Fluorescence Hypo-Fluorescence Fluorescein Angiography

Slide 4

Hyper - Fluorescence a.Window Defect RPE Atrophy (Laser Schar) b.Anomalous Vessels Dilation and Beading of Retinal Veins Intraretinal Microvascular Abnormalities (IRMA) NVE NVD FPE FPD c.Leakage Into Tissue (Staining) In a Preformed Space (Pooling)

Slide 5

Hypo - Fluorescence a.Vascular Filling Defect Nerve Fiber Layer Infarcts (Cotton-Wool Spots) Arteriolar Abnormalities Areas of Capillary Non-Perfusion (CNP) b.Blockage Pre-Retinal & Vitreous Hemorrhage Intra-Retinal Hemorrhage & Hard Exudates Sub-Retinal Hemorrhage & RPE Hypertrophy

Slide 6

Fluorescein Angiography is a valuable adjunct to diagnosis that supports and enhances, but does not replace, standard Clinical Examination.

Slide 7

One exception to this rule is found in patients with: Dense Asteroid Hyalosis obscuring the Posterior Pole.

Slide 8

Hyper - Fluorescence

Slide 9

Microaneurysms

Slide 10

Microaneurysm

Slide 11

Non-Cystoid Retinal Leakage

Slide 12

Focal Cystoid Retinal Leakage

Slide 13

Microaneurysms & Hard Exudates Diffuse Cystoid Retinal Leakage

Slide 14

Cystoid Retinal Leakage

Slide 15

Cystoid Retinal Leakage (CME) (Pooling)

Slide 16

Leakage Into Tissue (Staining)

Slide 17

Dilation and Beading of Retinal Veins & IRMA & CNP

Slide 18

Non-Cystoid Retinal Leakage & NVD

Slide 19

New-Vascularization of Retina (NVE & NVD)

Slide 20

PDR-Large NV & CNP

Slide 21

CNV in PDR

Slide 22

Sub-Macular CNV in PDR

Slide 23

Window Defect of the RPE Photo-Coagulation

Slide 24

Hypo - Fluorescence

Slide 25

Blockage Opacities of the Refractive Media and Vitreous

Slide 26

Blockage Pre-Retinal Hemorrhages

Slide 27

Blockage Pre-Retinal Gliosis and Fibrosis

Slide 28

Blockage Pre-Retinal and Intra-Retinal Gliosis and Fibrosis

Slide 29

Blockage Intra-Retinal Hemorrhages

Slide 30

Blockage Hard Exudates

Slide 31

Blockage RPE Hypertrophy after Photo-Coagulation

Slide 32

Vascular Filling Defect

Slide 33

Macular Ischemia

Slide 34

Mixed Maculopathy Early frames: Numerous Microaneurysms & CNP. Later frames: Diffuse Leakage.

Slide 35

Vascular Filling Defect Cotton Wool Spot

Slide 36

Vascular Filling Defect Capillary Non-Perfusion (CNP)

Slide 37

Vascular Filling Defect CNP

Slide 38

Slide 39

Diabetic Papillophathy

Slide 40

Diabetic Ischemic Optic Neuropathy

Slide 41

LECTUER 03114476010 392