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Related Experiment Videos

[Multifocal choroiditis with subretinal fibrosis]

S Onoda1, K Shibuya, H Miyasaka

  • 1Department of Ophthalmology, Teikyo University Medical School, Tokyo, Japan.

Nippon Ganka Gakkai Zasshi
|October 6, 1997
PubMed
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Multifocal choroiditis with subretinal fibrosis shows distinct patterns on indocyanine green angiography (IA) compared to fluorescein angiography (FAG). IA highlights initial choriocapillaris damage, revealing larger hypofluorescent areas indicative of retinal pigment epithelium-choriocapillaris complex compromise.

Area of Science:

  • Ophthalmology
  • Medical Imaging
  • Retinal Diseases

Background:

  • Multifocal choroiditis (MFC) is an inflammatory condition affecting the choroid.
  • Subretinal fibrosis can be a complication of MFC, potentially impacting vision.
  • Fluorescein angiography (FAG) and indocyanine green angiography (IA) are key imaging modalities in diagnosing and monitoring posterior uveitis.

Observation:

  • Two cases of MFC with subretinal fibrosis were evaluated using FAG and IA.
  • Case 1: A 14-year-old myopic female with peripheral lesions and progressive subretinal fibrosis.
  • Case 2: An 18-year-old high myopic male with posterior pole lesions, choroidal neovascularization, and peripheral fibrosis.

Findings:

  • FAG showed hypofluorescence in lesion centers and hyperfluorescence at edges, with some window defects and staining.

Related Experiment Videos

  • IA revealed widespread, persistent hypofluorescence from early stages, with visible major choroidal vessels.
  • IA demonstrated larger hypofluorescent areas than FAG and funduscopy, suggesting initial choriocapillaris damage.
  • Implications:

    • IA is crucial for detecting early choriocapillaris compromise in MFC with subretinal fibrosis.
    • The imaging findings suggest a sequential damage process involving the retinal pigment epithelium and choriocapillaris.
    • These insights aid in understanding the pathophysiology and potential management of this condition.