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NW2006 BasicFFA for beginners

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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

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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

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-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

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Hypofluorescence

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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

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Hyperfluorescence

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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

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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

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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

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Fluorescence without the

administration of fluorescein

Autofluorescence

Pseudofluorescence

Drusen of theoptic nerve head

Hamartoma

Scleral exudate

Myelinate nerve fibers

Scar tissue

Foreign body

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Autofluorescenc

e