References Lois, Noemi, and John V. Forrester. Fundus Autofluorescence. Philadelphia: Wolters Kluwer Health/Lippincott William & Wilkins, 2009. Farrell DF: Unilateral retinitis pigmentosa and cone-rod dystrophy. Clinical Ophthalmology 3: 263-270, 2009. Gass JD, Braunstein RA: Further observations concerning the diffuse unilateral subacute neuroretinitis syndrome. Arch Ophthalmol 101: 1689-97, 1983 Saffra NA, Perlman JE, Desai RU,
Special Acknowledgments Dan Epshtein Acknowledgments Sanjeev Nath Joy Harewood Naida Jakirlic Sherry Bass
Jerome Sherman, OD, FAAO Jerome Sherman, O.D., is perhaps optometry's most prolific writer, publishing over 650 clinical articles, research manuscripts, book chapters and two CDs. He is senior author of three books that were published in 2007, and has delivered over three thousand lectures both nationally and internationally. He has served as a
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Comments and Conclusions PAF allows 200 degrees of the fundus to be imaged without dilation in a single 250 msec flash. PAF documents the integrity of the RPE (and overlying photoreceptors) throughout the entire image. PAF abnormalities occur in myriad retinal disorders. No other technology-including OCT and BIO- provides such demonstrable abnormalities of the
Case 8: Optomap® plus with Resmax™ FAF OD and OS Note the relative symmetry between the two eyes suggestive of a retinal degeneration. Genetic testing did not reveal an abnormality in the ABCA4 gene and hence only a clinical diagnosis of Stargardt Disease (or really Fundus Flavimaculatus) can be made at present. Another
Case 8: Optomap plus with Resmax™ OS As in the right eye, the AF images are far more dramatic than the color images.
Case 8: Optomap® plus with Resmax™ FAF OS Equally dramatic AF images are exhibited in the left eye as well.
Similar findings are displayed in the left eye. In addition to the retinal findings, note the tilted discs with very large cups. Pressures have remained normal and the peripapillary RNFL is normal and has not changed in over a decade. The patient is still being monitored as a glaucoma suspect.
Case 8: Optomap® plus with Resmax™ OD The hyper AF spots suggest that the RPE cells in these areas are stressed. These sick cells may go on to die and the corresponding spots will change from white to black.