Ultra-Widefield Auto Fluorescence in Dots, Spots, and Flecks – Page 23 of 43
Case 4: Optomap® Ultra-Widefield Auto Fluorescence OD
Ultra-Widefield Auto Fluorescence in Dots, Spots, and Flecks – Page 22 of 43
Case 4: A 70-year-old black female presented for follow-up as a glaucoma suspect and a history of macula degeneration. Best corrected VA was 20/25 OD and 20/30 OS. Her CDs were .65 OU and lOPs were in the mid teens. One old record from a different institution suggested a small zone of occult
Ultra-Widefield Auto Fluorescence in Dots, Spots, and Flecks – Page 21 of 43
Case 3: Optomap® plus with Resmax AF OU The relatively symmetric lesions suggest an inherited disorder. The patient is scheduled for genetic testing at Columbia University. In addition to Dr. Stephen Tsang, Dr. Tony Moore at Moorfields Eye Hospital in London found the gene for this or a very similar condition and has offered
Ultra-Widefield Auto Fluorescence in Dots, Spots, and Flecks – Page 20 of 43
Case 3: Optomap® plus with ResmaxTM OD and OS KEY: Color Optomap Auto Fluorescence The dots and flacks are easy visualized on the color image but appear better define on the AF images.
Ultra-Widefield Auto Fluorescence in Dots, Spots, and Flecks – Page 19 of 43
Case 3: Optomap® OS KEY: Color Optomap Red Separation Green Separation Auto Fluorescence
Ultra-Widefield Auto Fluorescence in Dots, Spots, and Flecks – Page 18 of 43
Case 3: Optomap® Ultra-Widefield Auto Fluorescence OS
Ultra-Widefield Auto Fluorescence in Dots, Spots, and Flecks – Page 17 of 43
SImilar findings are revealed in the left eye as well.
Ultra-Widefield Auto Fluorescence in Dots, Spots, and Flecks – Page 16 of 43
Case 3: Optomap® OD KEY: Color Optomap Red Separation Green Separation Auto Fluorescence Note that the flecks are best revealed with the AF image. As discussed in RH #44, AF is due to the aging pigment, lipofuscln, which increases very slowly over decades in a diffused. uniform fashion.
Ultra-Widefield Auto Fluorescence in Dots, Spots, and Flecks – Page 15 of 43
Case 3: Optomap@ Ultra-Widefield Auto Fluorescence OD The dramatic AF Images reveal panretInal uniform radial linear-shaped flecks” which has been reported as a benign disorder b Stephen H Tsang MD PhD and his group at Columbia University.3 However, their case presentation did not demonstrate hyper AF as documented here.
Ultra-Widefield Auto Fluorescence in Dots, Spots, and Flecks – Page 14 of 43
Case 3: A 45-year-old, asymptomatic Hispanic female was discovered on routine exam to have white flecks throughout the fundus of each eye. She denies any family history of eye problems as well as an difficulty seeing at night.