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Quantitative Fundus Autofluorescence for the Evaluation of Retinal Diseases
Published on: March 11, 2016
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FUNDUS AUTOFLUORESCENCE IN RUBELLA RETINOPATHY: Correlation With Photoreceptor Structure and Function
Danuta M Bukowska1, Sue Ling Wan, Avenell L Chew
1*Centre for Ophthalmology and Visual Science, Lions Eye Institute, The University of Western Australia, Western Australia;†Department of Ophthalmology, Royal Perth Hospital, Perth, Western Australia; and‡Department of Medical Technology and Physics, Sir Charles Gairdner Hospital, Perth, Western Australia.
Retina (Philadelphia, Pa.)
|December 23, 2016
Summary
Rubella retinopathy can cause patchy hypoautofluorescence in the eye. Despite these changes, photoreceptor function remains largely intact, indicating mild impact on vision.
Area of Science:
- Ophthalmology
- Retinal Imaging
- Viral Retinopathy
Background:
- Rubella retinopathy is a rare complication of congenital rubella infection.
- Multimodal imaging is crucial for understanding retinal changes in viral infections.
Observation:
- Four cases of rubella retinopathy were studied using fundus examination, color photography, and autofluorescence imaging.
- Spectral domain optical coherence tomography, microperimetry, and adaptive optics imaging were employed to assess photoreceptor structure and function.
Findings:
- A
- salt-and-pepper
- fundus appearance was noted in all patients.
- Variable hypoautofluorescence, particularly on near-infrared excitation, was observed.
- Preserved cone photoreceptors and retinal sensitivity were found within hypoautofluorescent areas, with no correlation to ellipsoid zone attenuation.
Implications:
- Patchy hypoautofluorescence may indicate abnormal melanin in retinal pigment epithelium due to persistent rubella virus.
- Mild impact on photoreceptor function suggests RPE changes in rubella retinopathy are generally non-debilitating.
- Multimodal imaging aids in characterizing rubella retinopathy and its functional consequences.

