Angiographic Storm: Fluorescein Leakage in Retinal Vasculitis

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File number: 133837


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    Appears in
    Uveitis and Intraocular Inflammations
    Condition/keywords
    Fundus Fluorescein Angiography, idiopathic retinal vasculitis, VASCULITIS, FA late phase leakage, optic disc leakage
    Photographer
    Dr. Shraddha Raj Shrivastava
    Imaging device
    Scanning laser ophthalmoscope
    Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT)
    Description
    This left eye montage fundus fluorescein angiography (FFA) image of a 19 year old male with idiopathic retinal vasculitis, having skip vasculitic lesions predominantly involving retinal veins. There are areas of blocked fluorescence due to intraretinal hemorrhages, the involved veins have filling defects and occlusions, leading to formation of numerous collateral channels. The inflamed vessels also show perivascular fuzzy hyperfluorescent stain due to leakage of dye. We can also see multiple peripheral capillary non perfusion (CNP) areas, with a 'hot disc', suggestive of ongoing inflammation.

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