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Fluorescein Angiography & OCT in Diabetic Retinopathy

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Presentation on theme: "Fluorescein Angiography & OCT in Diabetic Retinopathy"— Presentation transcript:

1 Fluorescein Angiography & OCT in Diabetic Retinopathy
بسم الله الرحمن الرحيم Fluorescein Angiography & OCT in Diabetic Retinopathy F. Kianersi M.D 1388 / 11 / 30

2 Fluorescein Angiography
Hyper-Fluorescence Hypo-Fluorescence

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

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

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

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

7 Hyper - Fluorescence

8 Microaneurysms

9 Microaneurysm

10 Non-Cystoid Retinal Leakage
Microaneurysm Non-Cystoid Retinal Leakage

11 Focal Cystoid Retinal Leakage

12 Microaneurysms & Hard Exudates
Diffuse Cystoid Retinal Leakage

13 Cystoid Retinal Leakage

14 Cystoid Retinal Leakage (CME) (Pooling)

15 Leakage Into Tissue (Staining)

16 Dilation and Beading of Retinal Veins & IRMA & CNP

17 Non-Cystoid Retinal Leakage & NVD

18 New-Vascularization of Retina (NVE & NVD)

19 PDR-Large NV & CNP

20 CNV in PDR

21 Sub-Macular CNV in PDR

22 Window Defect of the RPE Photo-Coagulation

23 Hypo - Fluorescence

24 Blockage Opacities of the Refractive Media and Vitreous

25 Blockage Pre-Retinal Hemorrhages

26 Blockage Pre-Retinal Gliosis and Fibrosis

27 Blockage Pre-Retinal and Intra-Retinal Gliosis and Fibrosis

28 Blockage Intra-Retinal Hemorrhages

29 Blockage Hard Exudates

30 Blockage RPE Hypertrophy after Photo-Coagulation

31 Vascular Filling Defect

32 Vascular Filling Defect
Macular Ischemia

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

34 Vascular Filling Defect
Cotton Wool Spot

35 Capillary Non-Perfusion (CNP)
Vascular Filling Defect Capillary Non-Perfusion (CNP)

36 Vascular Filling Defect
CNP

37

38 Diabetic Papillophathy

39 Diabetic Ischemic Optic Neuropathy

40 ضمن عرض پوزش بدلیل حجم بالای LECTUER ادامه اسلایدها امکان پذیر نمیباشد در صورت نیاز به ادامه لطفا به واحد سمعی و بصری مرکز آموزشی درمانی فیض مراجعه و یا با شماره تلفن داخلی 392 تماس حاصل نمائید با تشکر


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