Ultrawide-field Fluorescein Angiography for Evaluation of Diabetic Retinopathy
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Purpose: To investigate the advantages of ultrawide-field fluorescein angiography (FA) over the standard fundus examination in the evaluation of diabetic retinopathy (DR). Methods: Ultrawide-field FAs were obtained in 118 eyes of 59 diabetic patients; 11 eyes with no DR, 71 eyes with nonproliferative diabetic retinopathy (NPDR), and 36 eyes with proliferative diabetic retinopathy (PDR), diagnosed by the standard method. The presence of peripheral abnormal lesions beyond the standard seven fields was examined. Results: Ultrawide-field FA images demonstrated peripheral microaneurysms in six (54.5%) of 11 eyes with no DR and all eyes with moderate to severe NPDR and PDR. Peripheral retinal neovascularizations were detected in three (4.2%) of 71 eyes with NPDR and in 13 (36.1%) of 36 eyes with PDR. Peripheral vascular nonperfusion and vascular leakage were found in two-thirds of eyes with severe NPDR and PDR. Conclusions: Ultrawide-field FA demonstrates peripheral lesions beyond standard fields, which can allow early detection and a close evaluation of DR.
Abstract
Purpose: To investigate the advantages of ultrawide-field fluorescein angiography (FA) over the standard fundus examination in the evaluation of diabetic retinopathy (DR). Methods: Ultrawide-field FAs were obtained in 118 eyes of 59 diabetic patients; 11 eyes with no DR, 71 eyes with nonproliferative diabetic retinopathy (NPDR), and 36 eyes with proliferative diabetic retinopathy (PDR), diagnosed by the standard method. The presence of peripheral abnormal lesions beyond the standard seven fields was examined. Results: Ultrawide-field FA images demonstrated peripheral microaneurysms in six (54.5%) of 11 eyes with no DR and all eyes with moderate to severe NPDR and PDR. Peripheral retinal neovascularizations were detected in three (4.2%) of 71 eyes with NPDR and in 13 (36.1%) of 36 eyes with PDR. Peripheral vascular nonperfusion and vascular leakage were found in two-thirds of eyes with severe NPDR and PDR. Conclusions: Ultrawide-field FA demonstrates peripheral lesions beyond standard fields, which can allow early detection and a close evaluation of DR.
참고문헌 (8)
- Furuhashi T, "Correlation of chronic kidney disease, diabetes and peripheral artery disease with cardiovascular events in patients using stress myocardial perfusion imaging", Ann Nucl Med, 25, pp.634~642 (2011)
- Kaines A, "The use of ultra wide field fluorescein angiography in evaluation and management of uveitis", Semin Ophthalmol, 24, pp.19~24 (2009)
- Win PH, "Optos Panoramic200A fluorescein angiography for proliferative diabetic retinopathy with asteroid hyalosis", Semin Ophthalmol, 22, pp.67~69 (2007)
- Manivannan A, "Ultra-wide-field fluorescein angiography of the ocular fundus", Am J Ophthalmol, 140, pp.525~527 (2005)
- Anderson L, "Ultrawide-angle retinal imaging and retinal detachment", Semin Ophthalmol, 22, pp.43~47 (2007)
- Kaines A, "Ultrawide angle angiography for the detection and management of diabetic retinopathy", Int Ophthalmol Clin, 49, pp.53~59 (2009)
- Mackenzie PJ, "Sensitivity and specificity of the optos optomap for detecting peripheral retinal lesions", Retina, 27, pp.1119~1124 (2007)
- Oliver SC, "Peripheral vessel leakage (PVL): a new angiographic finding in diabetic retinopathy identified with ultra wide-field fluorescein angiography", Semin Ophthalmol, 25, pp.27~33 (2010)