Ultra-widefield fundus fluorescein angiography in pediatric retinal vascular diseases

Purpose: To describe the utility of RetCam ultra-wide-field fundus fluorescein angiography in pediatric retinal vascular diseases. Methods: A retrospective chart review was carried out in 43 eyes of 22 pediatric patients who were diagnosed or suspected to have a retinal vascular disease. Fluorescein angiography was carried out using the 130 degree lens of RetCam 3. Fluorescein angiography guided treatment (laser/cryotherapy) was carried out wherever required. Results: Diseases studied included - coats disease, familial exudative vitreoretinopathy, retinopathy of prematurity, congenital retinal folds, double optic nerve head, persistent fetal vasculature and incontinentia pigmenti. RetCam assisted fluorescein angiography was helpful in establishing a diagnosis in 4 patients (18%), in decision making regarding treatment in 18 patients (82%), in deciding need for retreatment in 5 patients (23%), helped in staging of disease in 5 patients (23%) and in detecting clinically subtle findings in 6 patients (27%). Conclusion: RetCam assisted FFA is extremely useful to document peripheral retinal vascular pathologies in pediatric patients and helps to take crucial therapeutic and retreatment decisions.

Keywords

Fluorescein angiography, RetCam, retinal vascular diseases, retinopathy of prematurity, widefield imaging

Citation

Temkar S, Azad SV, Chawla R, Damodaran S, Garg G, Regani H, Nawazish S, Raj N, Venkatraman V. Ultra-widefield fundus fluorescein angiography in pediatric retinal vascular diseases. Indian Journal of Ophthalmology. 2019 Jun; 67(6): 788-794

URI

https://imsear.searo.who.int/handle/123456789/197264

Collections

Indian Journal of Ophthalmology

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