The Use of Ultra Wide Field Fluorescein Angiography in Evaluation and Management of Uveitis

Abstract

Purpose: Uveitis can occur in all segments of the eye and has multiple etiologies, (many of which remain poorly understood). Appropriate diagnosis and subsequent management can depend on elucidation of the clinical signs. Many diagnostic features are often best identified with Fluorescein angiography. However these signs are often peripheral and visualization can be difficult with traditional angiography. Optos ultra wide field scanning laser ophthalmoscope (Optos Panoramic 200MA; Optos PLC, Dunfermline, Scotland, United Kingdom) performs ultra wide angle fluorescein angiography and its benefit in uveitis was reviewed. Design: The Jules Stein Eye Institute retina division imaging database was reviewed and five common cases were selected. Methods: The relative benefits of wide field angiography were evaluated in each of these cases. Results: Ultra wide field angiography was found to have advantages compared to traditional angiography. It allowed clear identification of peripheral signs and accurate documentation of disease progression. Conclusion: In this division ultra wide field angiography has become the investigation of choice (over traditional angiography) in cases of intermediate and posterior uveitis.

Keywords:

• angiography
• uveitis
• fluorescein
• ultra wide field imaging