Case #51 – Multi-Spectral Imaging (MSI) of choroidal lesions in NF

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Case 1: Optomap® OD KEY: Color Optomap Red Separation Green Separation Auto Fluorescence Note that the green laser separation and the AF image appear essentially normal whereas the color composite and the red laser separation reveal the multiple, deep lesions.

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Case 1: Optomap® Ultra-Widefield Auto Fluorescence OD AF (see #RR42, #RR45, #RR47) is a novel imaging procedure which yields information about the RPE. Most AF in the fundus is to the aging pigment, lipofuscin. Here the vast majority of the retina reveals a normal AF glow suggesting that the RPE is normal. There is

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Ultra-widefield images with the Optos system were also obtained. The color composite here is composed of the green (532nm) laser and read (633nm) laser. Here in the resmax scan, multiple choroidal lesions were obvious.Assessment of the fundus with green laser separation yielded good imaging of the retinal vessels and the retinal nerve fiber layer

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Multi-Spectral Imaging (MSI) was obtained with the new Annelids RHS system. Although the color composite MSI image was normal, scans in the red and infra-red and spectrum were remarkably revealing of numerous deep lesions.

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Case 1: Topcon 3D OCT Image OU SD OCTs with the Topcon 3D OCT 2000 also appeared to be within normal limits. All retinal layers,including the Photoreceptor Integrity Line (PIL) appeared normal. The normal PIL under the fovea predicts normal (corrected) visual acuity. In addition to the retina, the vitreous and the choroid also appeared

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Case 1 Topcon 3D OCT Fund us Image OD A 25 year old female presented with blurred vision in her right eye. She was concerned about her eyes because she was told by her neurologist that patients with her disorder, nuerofibromatosis type 1, sometimes develop visual problems. Previous eye exams failed to reveal

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Neurofibromatosis (NF) • Neurofibromatosis (NF) is one of the 10 most common genetic disorders known to mankind.1 • NF is the most common single gene Mendelian disorder with visual implications. • Common ophthalmic findings in NF include Lisch nodules and optic nerve or visual pathway gliomas. • Choroidal lesions are rarely mentioned In the world’s

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About us

Review of Optometry has teamed up with well-known optometrist, Dr. Jerry Sherman, Past President of Optometric Retina Society to create this unique website serving the optometric community with weekly Retina Case Reports. Dr. Sherman serves as “Retina Revealed” Editor. Working with O.D. and M.D. colleagues, he is responsible for concept and content development.