The Fundus Autofluorescence Spectrum of Punctate Inner Choroidopathy

Purpose. To investigate the fundus autofluorescence (FAF) spectrum of punctate inner choroidopathy (PIC). Methods. This is a retrospective observational case series of 27 consecutive patients with PIC admitted from October 2013 to March 2015, who underwent short-wavelength- (SW-) and near-infrared-...

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Main Authors: Miaoling Li, Xiongze Zhang, Feng Wen
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2015/202097
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author Miaoling Li
Xiongze Zhang
Feng Wen
author_facet Miaoling Li
Xiongze Zhang
Feng Wen
author_sort Miaoling Li
collection DOAJ
description Purpose. To investigate the fundus autofluorescence (FAF) spectrum of punctate inner choroidopathy (PIC). Methods. This is a retrospective observational case series of 27 consecutive patients with PIC admitted from October 2013 to March 2015, who underwent short-wavelength- (SW-) and near-infrared- (NIR-) FAF imaging, spectral domain optical coherence tomography (SD-OCT), fluorescein angiography (FA), and indocyanine green angiography (ICGA). Results. There were three primary findings on the FAF imaging of patients with PIC. First, active PIC lesions revealed hypoautofluorescent spots with hyperautofluorescent margin. After the lesions regressed, the hyperautoflurescent margin faded. Second, subclinical and most of the atrophic PIC lesions appeared to be hypoautofluorescent spots. But subclinical PIC lesions were more distinctive on NIR-FAF imaging than on SW-FAF imaging. Third, hypoautofluorescent spots of PIC lesions coexisted with hyperautofluorescent patches on SW-FAF imaging. These hyperautofluorescent patches were demonstrated to be multiple evanescent white dot syndrome (MEWDS) or acute zonal occult outer retinopathy (AZOOR) lesions by subsequent multimodal imaging and faded during follow-up examinations. Conclusion. FAF imaging helps in noninvasively tracking the evolution of PIC lesions and identifying the combined MEWDS or AZOOR lesions, complementary to SD-OCT and angiographic studies.
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spelling doaj-art-9ebd9bfee69a4626a91c79aa32932b612025-02-03T00:59:20ZengWileyJournal of Ophthalmology2090-004X2090-00582015-01-01201510.1155/2015/202097202097The Fundus Autofluorescence Spectrum of Punctate Inner ChoroidopathyMiaoling Li0Xiongze Zhang1Feng Wen2State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, ChinaPurpose. To investigate the fundus autofluorescence (FAF) spectrum of punctate inner choroidopathy (PIC). Methods. This is a retrospective observational case series of 27 consecutive patients with PIC admitted from October 2013 to March 2015, who underwent short-wavelength- (SW-) and near-infrared- (NIR-) FAF imaging, spectral domain optical coherence tomography (SD-OCT), fluorescein angiography (FA), and indocyanine green angiography (ICGA). Results. There were three primary findings on the FAF imaging of patients with PIC. First, active PIC lesions revealed hypoautofluorescent spots with hyperautofluorescent margin. After the lesions regressed, the hyperautoflurescent margin faded. Second, subclinical and most of the atrophic PIC lesions appeared to be hypoautofluorescent spots. But subclinical PIC lesions were more distinctive on NIR-FAF imaging than on SW-FAF imaging. Third, hypoautofluorescent spots of PIC lesions coexisted with hyperautofluorescent patches on SW-FAF imaging. These hyperautofluorescent patches were demonstrated to be multiple evanescent white dot syndrome (MEWDS) or acute zonal occult outer retinopathy (AZOOR) lesions by subsequent multimodal imaging and faded during follow-up examinations. Conclusion. FAF imaging helps in noninvasively tracking the evolution of PIC lesions and identifying the combined MEWDS or AZOOR lesions, complementary to SD-OCT and angiographic studies.http://dx.doi.org/10.1155/2015/202097
spellingShingle Miaoling Li
Xiongze Zhang
Feng Wen
The Fundus Autofluorescence Spectrum of Punctate Inner Choroidopathy
Journal of Ophthalmology
title The Fundus Autofluorescence Spectrum of Punctate Inner Choroidopathy
title_full The Fundus Autofluorescence Spectrum of Punctate Inner Choroidopathy
title_fullStr The Fundus Autofluorescence Spectrum of Punctate Inner Choroidopathy
title_full_unstemmed The Fundus Autofluorescence Spectrum of Punctate Inner Choroidopathy
title_short The Fundus Autofluorescence Spectrum of Punctate Inner Choroidopathy
title_sort fundus autofluorescence spectrum of punctate inner choroidopathy
url http://dx.doi.org/10.1155/2015/202097
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