Hyperfluorescence Case #5

ID: 69F

Reason for Referral: Central Scotoma NYD

Past Ocular History: None

Past Medical History: Hypertension, Diabetes (HbA1c 6.1%)

Medications: Metformin

Ocular gtts: None

Eye Vitals and Examination:

  • BCVA 20/60 OD, 20/25 OS

  • IOP 16 OD, 15 OS

  • No RAPD, PEARRLA

  • EOM full

  • Late Leakage at the Macula

    A leak occurs when there is loss of fluorescein into the extracellular space. A full leak begins early in the scan and increases in size and intensity with time. This photo shows late macular leakage and right angled vessels characteristics of macular talengiectasia.

    • Cystoid appearance (inside the macula, aflower petal appearance because of the organization of the outer plexiform layer; outside of the macula, a honey- comb appearance): diabetic retinopathy, telangiectasis, choroidal or retinal inflammation, subretinal neovascularization, subretinal inflammation, choroidal tumours.

    • Non-cystoid pattern (usually due to small retinal vessel leakage): hypertension, diabetes, or vasculitis.

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Hyperfluorescence Case #4