Central retinal artery occlusion in sickle cell anemia – Page 15 of 35
Case 1 Optomap® Fluorescein Anglography Image OD
Central retinal artery occlusion in sickle cell anemia – Page 14 of 35
Case 1: Optomap® Fluorescein Angiography Image OS
Central retinal artery occlusion in sickle cell anemia – Page 13 of 35
Case 1: Optomap® Fluorescein Anglography Image OS Ultra-widefield fundus fluorescein angiography is ideal to reveal abnormalities in sickle cell retinopathy. Note vascular remodeling (red rectangle) and zones of capillary avascularity (dotted green circles)
Central retinal artery occlusion in sickle cell anemia – Page 12 of 35
Case 1 Optomap® OD vs OS KEY: Color Optomap Red Separation Green Separation Auto Fluorescence AF highlights RPE lesions which are invisible with standard imaging.
Central retinal artery occlusion in sickle cell anemia – Page 11 of 35
Case 1: Optomap® OS KEY: Color Optomap Red Separation Green Separation Auto Fluorescence The two small round areas visible with AF appear invisible with the color, red, and green separation images, similar to the findings in the fellow eye.
Central retinal artery occlusion in sickle cell anemia – Page 10 of 35
Case 1: Optomap Ultra-wldefleld Auto Fluorescence OS AF OS reveals 2 hyper AF spots below the disc which appear "cradled" by the inferior temporal vein and similar to the two lesions in the right eye.
Central retinal artery occlusion in sickle cell anemia – Page 9 of 35
The left eye (with 20/20 VA) reveals tortuous veins and some small sunburst lesions temporally.
Central retinal artery occlusion in sickle cell anemia – Page 8 of 35
Case 1: Optomap® OD KEY: Color Optomap Red Separation Green Separation Auto Fluorescence Note that the grey white cloudy swelling of the inner retina is not revealed in the AF image on the lower right. AF is due primarily to lipofuscin in the RPE. The inner retina appears virtually invisible on AF
Central retinal artery occlusion in sickle cell anemia – Page 7 of 35
Case 1 Optomap® Ultra-widefield Auto Fluorescence OD This Ultra-widefield AF image reveals hyper AF around a sunburst lesion temporally (also visible in the color images) and denotes increased lipofuscin due to metabolically over-active or sick RPE cells. See RR #42, RR #45 , and RR #47 for more information about AF. The two
Central retinal artery occlusion in sickle cell anemia – Page 6 of 35
Case 1. Optomap® Color Fundus Image OD