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basic fundus fluorescein angiography (FFA, FA) for beginners
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Changes of Blood Flow
Hypoperfusion
Hyperperfusion
Ocular (e.g.occlusion of the carotid)ArterialVenousChoroidal
Anastomosis
- New formed bloodvessels
Margins of a hypoperfusion Malfunctioning regulation (?)
VitrealRetinal
TumorSubretinal
Hypofluorescence, vascular fillingdefect
Retinal vessels
Occlusion of the central artery or one of its branches Occlusion of the carotid
Venous: branch occlusion, central vein occlusionDiabetes
Vascular occlusionPostirradiation
- Sickle cell disease Occlusion of the cartoid
- Other vaso occlusive diseases After photocoagulation
Eales’ disease
Capillary bed
Ischemic optic neuropathy Optic atrophy with decreased capilary bed
Optic pit Coloboma of the optic nerve
Physiology irregular filling of the choroid Occlusion of a choroidal vessel
Primay disturbance of choroidal vascularization Behcet disease
- So called AMPPE Collagen diseases
- Other vaso occlusive diseases Absence of AH
Vessels of the optic nerve
Chorid
-HypofluorescenceLeakage
Preretinal
Intraretinal
Opacities of the refractive media and of the vitreous
Preretinal and intraretinal gliosis and firosisRetinitis
Myelinated nerve fibers- Intra und preretinal hemorrhagesMelanocytomaHemorrhagePigment
Hard exudatesEdema
Subretinal
HemorrhagePigmentInflammationFluid
Hard exudates
Differentdeposits
Fundus albipunctatus Vitelliform degeneration
- Flecked retina syndrome
Hypofluorescence
Hyperfluorescence Window defect of the pigment epithelium
Congenitally decreased pigment in the RPE (albinism, myopia, physiologic variation)
Atrophy of the pigment epithelium After inflammation
After detachment of the retina and pigmentepithelium
Tumors Angioid streaks
PhotocoagulationDiathermyCropexy
Toxic damageTrauma
Macular holeDrusen
Choroidal folds
Hyperfluorescence
Hyperfluorescence Anomalous vessels
Choroid
Retina
Optic nerve head
-Subretinal neovascularization
Tumor vessels Chorioretinal anastomosis
Vascular tortuosities Dilation and shunts
AnastomosisNeovascularization
AneurysmsTeleangiectasia
Tumor vesselsHamartoma
NeovascularizationTortuosityDilationHamartoma
Tumor vessels
Hyper-fluorescenceLeakage
In a preformed space (pooling)
Into tissue(staining)
Retinal
Subretinal
Retinal
Subretinal
Cystoid edema
Detachment of the pigment
epithelium
Detachment of the sensoryretina
noncystoidedema
e.g.dursen
Hyperfluorescenceleakage
Retina
Cystoid
Venous occlusion Arterial hypertension Retinal telangiectasia
Macroaneurysm Retinal tumor
Epiretinal gliosisUveitis
Retinitis pigmentosa Diabetic retinopathy
- Other vaso occlusive diseases Vasoocclusive retinal disease
Diabetic retinopathy Arterial hypertensionMacroaneurysmIrradiationTumor
InflammationPhotocoagulation
Detachment of sensory retina Detachment of pigment epithelium- New formed blood vessels
Inflammation to the uvea, retinal and optic nerve head Tumors of the retina and of the optic nerve head Physiologic
Vascular occlusionDrusen
Optic pitColobomaScar
Choked discPapilledema
Inflammatory changes
-Noncystoid
Choroid
Vitreous
Optic Nerve
Fluorescence without the
administration of fluorescein
Autofluorescence
Pseudofluorescence
Drusen of theoptic nerve head
Hamartoma
Scleral exudate
Myelinate nerve fibers
Scar tissue
Foreign body
Autofluorescenc
e