Ординатура / Офтальмология / Английские материалы / Atlas of Fundus Autofluorescence Imaging_Holz, Schmitz-Valckenberg, Spaide, Bird_2007

276 Richard F. Spaide

Fig. 17.11  a A choroidal hemangioma located superotemporal to the optic nerve head has the typical reddish-orange appearance. This was associated with yellowish subretinal material (arrow) and a serous detachment of the macula. b The earliest frames of the fluorescein angiogram characteristically show filling of vascular channels within the hemangioma. c Later there is staining of the hemangioma, and the yellow pigment blocks the hyperfluorescence (arrow). d Autofluorescence photography demonstrates that the yellow material is hyperautofluorescent. e An optical coherence tomogram taken over the top of the tumefaction shows the subretinal fluid and granules of material in the subretinal space (arrow)

278 Richard F. Spaide

Fig. 17.12  a,b Right and left eyes of a patient with a melanocytic lesion in the left eye. Note the dependent serous detachment of the macula in the left eye that has a slight yellow cast. There is orange subretinal material over the tumefaction. c,d The autofluorescence photographs of the right and left eyes show increased autofluorescence in the area of the detachment and focal hyperautofluorescent spots, corresponding to orange material. e A composite optical coherence tomogram shows the dependent serous detachment with accumulation of subretinal material in the region of the detachment

280 Richard F. Spaide

Fig. 17.13  a,b This patient had pseudophakic cystoid macular edema in the left eye, causing a slight increase in autofluorescence from the central fovea. c Note the accumulation of subretinal material under the central fovea

282 Richard F. Spaide

Fig. 17.14  a The color photograph shows an area of choroidal neovascularization under the macula and a nevus superotemporal to the macula. The patient had yellow deposits commonly lumped together under the term “lipid.” Note the differing appearance of the lipid. b Autofluorescence photography shows decreased autofluorescence over the nevus with focal areas of hyperautofluorescence. The macular lesion has decreased autofluorescence centrally, as seen in cases of long-standing choroidal neovascularization. Note the differential autofluorescence appearance of the two types of “lipid”

Fig. 17.15  Close-up of Fig. 17.13. The arrows point to a fine granular intraretinal accumulation similar to that seen in diabetic retinopathy. Inferiorly there are spheroidal blobs of yellowish outer retinal accumulation. b The autofluorescence photograph shows hypoautofluorescence from the intraretinal lipid (arrows). The outer retinal accumulations are hyperautofluorescent. The arrows point to lipoproteins associated with increased leakage of serum components, while the spheroidal accumulations may represent material derived from shed photoreceptor outer segments

284 Richard F. Spaide

Fig. 17.16  a,b A 7-year-old girl was referred for evaluation of the serous macular detachment of the left eye. She had experienced dimness of vision of the affected eye for 1 year. Visual acuity was 20/20 in the right eye and 20/30 uncorrected in the left eye. An optic pit was located at the inferotemporal border of the optic disk of the left eye, with a shallow neurosensory macular detachment tapering toward the optic pit with yellowish subretinal precipitates. c A higher magnification view demonstrates the slight yellow cast of the area of detachment with focal accumulations of yellow material. d Autofluorescence photo­ graphy demonstrates increased autofluorescence in the area of detachment with hyperautofluorescent subretinal accumulations. e Optical coherence tomography shows an outer-layer retinal detachment noncontiguous to the optic disc. There were hyperreflective accumulations of material on the outer part of the retina (arrow). e Optical coherence tomography shows an outer-layer retinal detachment noncontiguous to the optic disc. There were hyperreflective accumulations of material on the outer part of the retina (arrow). (From Laud K, Visaetsilpanonta S, Yannuzzi LA, Spaide RF. Autofluorescence imaging of optic pit maculopathy. Retina. 2007;27:116–119)