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Original Article

Role of Fluorescein angiography in evaluation of posterior segment disorders

Year : 2017 | Volume : 5 | Issue : 2 Page : 8 - 12

Arvind R 1, Surendar S 2, Ch. Jagan Mohan Rao 3



1Associate Professor, 2 Postgraduate student,3 Senior resident, Department of Ophthalmology, Prathima Institute of Medical Sciences, Nagunur, Karimnagar, Telangana, India. Address for correspondence: Dr Arvind R, Associate Professor, Department of Ophthalmology, Prathima Institute of Medical Sciences, Nagunur, Karimnagar, Telangana, India.

Email: arvind_kmc@yahoo.co.in

Abstract

Objectives: To study the role of fluorescein angiography in the evaluation of posterior segment diseases.

Materials & Methods :A hospital based prospective randomized study was done which included 80 patients. Detailed patient history was taken and a thorough ocular and systemic examination was done. All patients were examined by ophthalmoscopy (direct, indirect and slit lamp examination with +90 D lens), followed by fluorescein angiography. Ophthalmoscopic and fluorescein angiography findings were analyzed and categorized. Patients were advised necessary ocular and systemic treatment.

Results : 80 cases with posterior segment diseases were analyzed and sub-divided into categories of Diabetic retinopathy, vascular occlusive disorders, age related macular degenerations, Central serous chorioretinopathy, inflammatory disorders and miscellaneous conditions. Fundus Fluorescein Angiography (FFA) altered the diagnosis in 37.5% of cases and categorized the lesions in all cases. 11% of patients experienced adverse reactions like nausea and vomiting. On statistical analysis, FFA proved to be a far superior diagnostic modality than clinical examination (ophthalmoscopy) in diagnosing fundus pathology.

Conclusion :FFA is a superior diagnostic tool and is a necessity for evaluating, localizing and categorization of lesions in Retinal, Macular and Choroidal pathologies

Key words : Fundus Fluorescein Angiography, Diabetic retinopathy, Age related macular degenerations, Central serous chorioretinopathy.

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