Indocyanine-Green Angiography in Acute Idiopathic Exudative Polymorphous Vitelliform Maculopathy

Vianna, Raul N. G.; Muralha, Acácio; Muralha, Lília

doi:10.1097/00006982-200308000-00016

Cited by 17 publications

(13 citation statements)

References 2 publications

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“…In the acute phase of the disease, the round lesions show hyperfluorescence during the early phases of the fluorescein angiogram and late staining. Interestingly, the same pattern of fluorescence occurs in ICG (70) . In both fluorescein angiography and ICG the hyperfluorescent round lesions correspond to the ophthalmoscopically seen lesions.…”

Section: Acute Idiopathic Exudative Polymorphous Vitelliform Maculopasupporting

confidence: 53%

“…Optical coherence tomography reveals anterior displacement of the photoreceptor layer by a hypereflective subretinal layer overlying a hypore- flective space above the RPE-choriocapillaris complex under all lesions and no subretinal fluid (71) . The ERG amplitudes are usually normal, but the electrooculogram (EOG) may have a decrease of the Arden ratio (69)(70) . The above mentioned features indicate that the pathologic process is primarily located at the level of the RPE and choriocapillaris.…”

Section: Acute Idiopathic Exudative Polymorphous Vitelliform Maculopamentioning

confidence: 99%

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The white dot syndromes

Vianna

Socci

Nehemy

et al. 2007

Arq. Bras. Oftalmol.

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Several entities must be considered when a patient presents with a white dot syndrome. In most cases these can be distinguished from one another based on the appearance or distribution of the lesions, the clinical course, or patient variables such as age, sex, laterality, and functional and image examinations. In this paper we review the distinctive and shared features of the white dot syndromes, highlighting the clinical findings, diagnostic test results, proposed etiologies, treatment, and prognosis.

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Section: Acute Idiopathic Exudative Polymorphous Vitelliform Maculopasupporting

confidence: 53%

Section: Acute Idiopathic Exudative Polymorphous Vitelliform Maculopamentioning

confidence: 99%

The white dot syndromes

Vianna

Socci

Nehemy

et al. 2007

Arq. Bras. Oftalmol.

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show abstract

“…Occurring as an idiopathic [127] or paraneoplastic syndrome [128, 129], acute exudative polymorphous vitelliform maculopathy (AEPVM) likely results from inflammatory or immune-mediated RPE dysfunction leading to lipofuscin accumulation and exudative retinal detachments [130]. AEPVM is characterized by multifocal, yellow-white, subretinal lesions associated with serous retinal detachments.…”

Section: Macular Dystrophiesmentioning

confidence: 99%

“…FAF shows intense hyper-autofluorescence of the subretinal vitelliform material, which tends to gravitate inferiorly [133]. Lesions resolve gradually over weeks, with a corresponding decrease in autofluorescence [130]. …”

Section: Macular Dystrophiesmentioning

confidence: 99%

Clinical applications of fundus autofluorescence in retinal disease

2016

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Fundus autofluorescence (FAF) is a non-invasive retinal imaging modality used in clinical practice to provide a density map of lipofuscin, the predominant ocular fluorophore, in the retinal pigment epithelium. Multiple commercially available imaging systems, including the fundus camera, the confocal scanning laser ophthalmoscope, and the ultra-widefield imaging device, are available to the clinician. Each offers unique advantages for evaluating various retinal diseases. The clinical applications of FAF continue to expand. It is now an essential tool for evaluating age related macular degeneration, macular dystrophies, retinitis pigmentosa, white dot syndromes, retinal drug toxicities, and various other retinal disorders. FAF may detect abnormalities beyond those detected on funduscopic exam, fluorescein angiography, or optical coherence tomography, and can be used to elucidate disease pathogenesis, form genotype-phenotype correlations, diagnose and monitor disease, and evaluate novel therapies. Given its ease of use, non-invasive nature, and value in characterizing retinal disease, FAF enjoys increasing clinical relevance. This review summarizes common ocular fluorophores, imaging modalities, and FAF findings for a wide spectrum of retinal disorders.

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“…Choroidal neovascularization may occur as a consequence of the retinal pigment epithelial disturbance leading to permanent severe loss of vision. Other features of UAIM may include vitreous cells, papillitis, punctate intraretinal hemorrhages, eccentric macular lesions, subretinal exudation, macular hole, and bilaterality [1][2][3][4][5][6][7][8][9][10][11][12][13]. Association with viral prodrome, pregnancy, human immunodeficiency virus, toxoplasmosis, and Coxsackie virus has been reported, but the pathophysiology of UAIM is not fully understood.…”

mentioning

confidence: 99%

Transient electro-oculogram impairment in unilateral acute idiopathic maculopathy

et al. 2009

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Unilateral acute idiopathic maculopathy (UAIM) is a rare distinct entity characterized by acute exudative maculopathy occurring in young persons. The purpose of this case study is to report transient electro-oculogram (EOG) impairment during the acute stage of UAIM. A 16-year-old healthy female with UAIM in the left eye underwent serial visual field, fluorescein angiography, indocyanine green angiography, full-field electroretinogram (ERG), and EOG. Initial visual acuity of the affected left eye was 4/200 with macular subretinal exudates. Indocyanine green angiography disclosed early phase foveal hypocyanescence persisting into late phase along with late phase foci of pinpoint hypocyanescence scattered in the macular and mid-peripheral regions. Standard full-field ERG responses performed 18 days after the onset of symptoms were normal. Standard EOG revealed a marked reduced light-peak to dark-trough amplitude ratio (Arden ratio) of 1.20 left eye (normal >or= 1.7) and a normal ratio of 2.24 right eye. Five weeks later, the left eye improved to 20/50, and the exudative maculopathy resolved with residual irregular foveal hyperpigmentation. Repeat EOG performed 69 days after onset of symptoms showed recovery and normalization of the EOG amplitude ratio of the left eye from 1.20 to 2.54. Transient EOG impairment with a normal full-field ERG may occur during the early stage of UAIM. This finding suggests a more widespread dysfunction of the retinal pigment epithelium in at least some cases of UAIM.

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Indocyanine-Green Angiography in Acute Idiopathic Exudative Polymorphous Vitelliform Maculopathy

Cited by 17 publications

References 2 publications

The white dot syndromes

The white dot syndromes

Clinical applications of fundus autofluorescence in retinal disease

Transient electro-oculogram impairment in unilateral acute idiopathic maculopathy

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