By Pukhraj Rishi, Ekta Rishi, Tarun Sharma, Muna Bhende, Parveen Sen

Fundus fluorescein angiography is a method for interpreting the flow of the retina utilizing a dye tracing procedure. This atlas is a entire consultant to fluorescein angiographic findings of ocular problems. starting with an advent to the method, the subsequent sections talk about macular issues, vascular problems, inflammatory issues, heredomacular dystrophy, optic nerve issues and tumours. that includes greater than 1400 color photographs, this moment version encompasses a loose photograph CD of case reports, in addition to a self try out bankruptcy for fast revision. Key issues * accomplished consultant to fundus fluorescein angiography * comprises unfastened picture CD of case reports * greater than 1400 color photos * Self attempt bankruptcy for speedy revision * past version released 2009

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Extra info for The Sankara Nethralaya Atlas of Fundus Fluorescein Angiography

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Chapter 3: Photographic and Angiographic Artifacts 11 Dark Spot Artifact In a highly myopic fundus, when the photographer tries to focus, the central coating of the objective lens can result in a dark spot and sometimes may obscure the foveal region. This can be avoided by directing the patient to look temporally or superiorly so as to bring the central part of the macula into focus. Right eye myopic fundus showing a dark spot artifact (arrow) near the foveal region The same myopic eye (as left) in venous phase of FA showing a dark spot artifact (arrow) in the papillomacular bundle region Exposure The overall photograph may be too light or dark, or it may have a double exposure.

Patient was on oral steroids and was asked to stop the medication. The patient was periodically reviewed. Four months later, right eye condition resolved while visual acuity in the left eye reduced to 3/36

2 Accumulation of excess amounts of lipofuscin will give rise to increased signals on FAF, while RPE cell loss results in reduced or absent FAF. 3 Five FAF patterns have been described in geographic atrophy (dry AMD)- none, focal, banded, diffuse and patchy. 4 Studies in Stargardt’s disease have shown that areas of increased FAF are actually associated with less risk of conversion to geographic atrophy. These authors also noted that there is focal remodeling of the fundus autofluorescence and no consistent conversion from increased fluorescence areas to decreased fluorescence areas.

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