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Case 1 vs Case 2: Optomap® OD KEY: Color Optomap Auto Fluorescence Hence, AF is useful in such cases to confirm or deny the presence of a RPE disorder. In this case, the son has obvious hyper AF spots but his mother does not. Other family members are scheduled to be evaluated. Presently
Case 2: Optomap®OD in these images, we highlight one of the spots and it becomes obvious that the spot is in front of the retinal blood vessel, confirming that this spot is in the vitreous. Mom has asteroid hyalosis and not Fundus Aibi.
Case 2: Optomap® OD KEY:Color OptomapRed SeparationGreen SeparationAuto Fluorescence
Case 2: Optomap® Ultra-Widefleld Auto Fluorescence Magnification OD In contrast to the 10-year-old patient, mom has an AF pattern that is essentially normal.
Case 2: SInce his mom was present, Optos images were obtained from mom through an undilated pupil. Surprisingly, the mom has some white spots as well. Similar white dots in mom would suggest an autosomal dominant disorder or that the mom is a carrier with some subtle, associated findings. A third possibility is
Case 1 Optomap® Ultra-Widefield Auto Fluorescence OU Our patIent Is scheduled for an ERG. Patching one eye for several hours and performing the ERG bIlaterally should confirm the slow regeneration of photo pigment. The patients mom has agreed to genetIc testing. Usually, Fundus AlbI Is Inherited as an autosomal recessive dIsorder but autosomal domInant pedigrees
Case 1 Optomap®OD and OS KEY:Color OptomapAuto FluorescenceThe remarkable symmetry of the dots is best documented with the AF imags.
Case 1: Optomap® OS KEY:Color OptomapRed SeparationGreen SeparationAuto FluorescenceNote that the findings under all 4 conditions are very symmetric between the right and left eye.
Case 1: Optomap® Ultra-Widefleld Auto Fluorescence OS The appearance in each eye strongly suggests a Congenital Stationary Night Blindness (CSNB) disorder with monotonous dots known as fundus albipunctatus. The differential diagnosis includes the progressive disorder known as retinitis punctata albescens or RP with white dots. Electroretinography in fundus albi is quite unusual in that the
The findings in the left eye are virtual mirror images of the right eye and strongly suggest an inherited disorder.
