Cracking the Angioid Streaks Mystery: Multimodal Mayhem

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File number: 133860


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    Appears in
    Angioid Streaks
    Condition/keywords
    Angioid Streaks, Bruch's membrane, multimodal imaging, retro mode, fundus autofluorescence (FAF), disciform scar
    Photographer
    Dr. Shraddha Raj Shrivastava
    Imaging device
    Scanning laser ophthalmoscope
    Nidek Mirante SLO/OCT (Confocal scanning/Spectral domain OCT)
    Description
    Multimodal imaging of right eye fundus showing Angioid Streaks with scarred CNVM. Color fundus photo shows hyperpigmented irregular lines emanating from the disc in a radiating fashion. Surrounding the angioid streaks and at the posterior pole, we can see numerous dot-like hypopigmented deposits and a disciform scar at macula. G-FAF images better reveal more extensive hypoautofluorescent streaks than are apparent on standard fundus photo. Characteristic “Para-streak phenomenon” of focal hyperautofluorescent spots are seen along the margins of the dark angioid streaks, corresponding to the areas of pigment clumping seen clinically. The para-streak pigment clumps are better delineated on the novel Retro-imaging method, appearing as raised bumps surrounding the angioid streaks.

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