Case #47 – Ultra-Widefield Auto Fluorescence in Dots, Spots, and Flecks

Ultra-Widefield Auto Fluorescence in Dots, Spots, and Flecks – Page 43 of 43

References 1. Hajali, Manal, Gerald A. Fishman, Thaddeus R Dryja, Meredith 0. Sweeney, and Martin Lindeman. “Diagnosis in a Patient with Fundus Aibipunctatus and Atypical Fundus Changes.’ Documenta Ophthalmologica 118.3 (2009): 233-38. Print. 2. Sekiya, K. “Long-term Fundus Changes Due to Fundus Aibipunctatus Associated With Mutations in the RDH5 Gene.” Archives of Ophthalmology 121.7

Ultra-Widefield Auto Fluorescence in Dots, Spots, and Flecks – Page 43 of 432021-12-01T02:29:04+00:00

Ultra-Widefield Auto Fluorescence in Dots, Spots, and Flecks – Page 41 of 43

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

Ultra-Widefield Auto Fluorescence in Dots, Spots, and Flecks – Page 41 of 432021-12-01T02:37:55+00:00

Ultra-Widefield Auto Fluorescence in Dots, Spots, and Flecks – Page 39 of 43

Comments and Conclusions • There exist a considerable number of disorders often classified under the heading of flecked retina” syndrome.6 • Fundus Albipunctatus, which exhibits marked hyper AF dots, has such a characteristic tundus appearance that it is virtually pathognomonic of the disorder. • Stargardt Disease, Retinitis Punctata Albescens, Familial Benign Fleck Retina and

Ultra-Widefield Auto Fluorescence in Dots, Spots, and Flecks – Page 39 of 432021-12-01T02:37:33+00:00

Ultra-Widefield Auto Fluorescence in Dots, Spots, and Flecks – Page 37 of 43

Case 6: Optomap® Color Fundus and AF Comparison OS KEY: Color Optomap Red Separation Green Separation Auto Fluorescence Note the symmetry of the right and left eye which suggests a hereditary retinal degeneration. This is most likely a case of peri-central RP which often has an autosomal dominant inheritance pattern and typically progresses

Ultra-Widefield Auto Fluorescence in Dots, Spots, and Flecks – Page 37 of 432021-12-01T02:37:12+00:00

Ultra-Widefield Auto Fluorescence in Dots, Spots, and Flecks – Page 36 of 43

Case 6: Optomap® Color Fundus and AF Comparison OS In the color fundus Image, note the hard exudates (In the macula) whIch are typIcally In the outer plexIform layer. Hard exudates In Henle’s FIber Layer tend to form a macular star. As expected, hard exudates are virtually Invisible with AF, sInce AF Is

Ultra-Widefield Auto Fluorescence in Dots, Spots, and Flecks – Page 36 of 432021-12-01T02:37:00+00:00