Ultra-Widefield Fundus Fluorescein Angiography Findings in Patients With Fuchs' Uveitis Syndrome Publisher

Summary: Findings from a study on Fuchs' uveitis syndrome reveal that ultrawidefield angiography is crucial for proper evaluation. Notably, optic disc hyperfluorescence linked to iris heterochromia was common. What does this mean for patient management? #Uveitis #Ophthalmology

Nasrollahi K ; Fazel F ; Mirjani T ; Kianersi F ; Fazel M ; Pourazizi M
Source: Advanced Biomedical Research Published:2022

Abstract

Background: The aim of this study was to evaluate ultra-widefield (UWF) fundus fluorescein angiography (FFA) findings in patients with Fuchs' uveitis syndrome (FUS). Materials and Methods: This cross-sectional study was conducted in patients with FUS. All the patients underwent a complete ophthalmologic examination, and FFA was carried out with Optos UWF retinal imaging. Standard FFA and image acquisition consisted of early phase (15-45 s) images, and late-phase (5-10 min) images were also obtained for both eyes. Results: Forty eyes from twenty unilateral FUS patients, including 11 females (55%), who had a mean age of 38.50 ± 6.97 years, were enrolled. Eighty-five percent of the FUS eyes had optic disc hyperfluorescence (ODH) in the FFA. A significant relationship was observed between ODH and iris heterochromia (P = 0.004). ODH was seen in all the patients with iris heterochromia (n = 16). Peripheral vascular leakage (PVL), capillary nonperfusion, chorioretinal scar, and vascular sheathing were observed in 3, 3, 2, and 8 of the patients' eyes, respectively. Conclusion: UWF FFA imaging seemed to be mandatory for evaluating the prognosis of the FUS patients, and another investigation may require to be conducted to evaluate the effect of antivascular endothelial growth factor agents for the management of PVL in these patients. © 2022 Elsevier B.V., All rights reserved.