Analysis of Fundus Photography and Fluorescein Angiography in Nonarteritic Anterior Ischemic Optic Neuropathy and Optic Neuritis.
10.3341/kjo.2016.30.4.289
- Author:
Min Kyung KIM
1
;
Ungsoo Samuel KIM
Author Information
1. Department of Ophthalmology, Kim's Eye Hospital, Myung-Gok Eye Research Institute, Konyang University College of Medicine, Seoul, Korea. ungsookim@kimeye.com
- Publication Type:Original Article
- Keywords:
Fluorescein angiography;
Fundus photography;
Ischemic optic neuropathy;
Optic neuritis
- MeSH:
Choroid/blood supply/*diagnostic imaging;
Female;
Fluorescein Angiography/*methods;
Fundus Oculi;
Humans;
Male;
Middle Aged;
Optic Disk/blood supply/*diagnostic imaging;
Optic Neuritis/*diagnosis;
Optic Neuropathy, Ischemic/*diagnosis;
Photography/*methods;
Retrospective Studies
- From:Korean Journal of Ophthalmology
2016;30(4):289-294
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: We evaluated fundus and fluorescein angiography (FAG) findings and characteristics that can help distinguish nonarteritic anterior ischemic optic neuropathy (NAION) from optic neuritis (ON). METHODS: Twenty-three NAION patients and 17 ON with disc swelling patients were enrolled in this study. We performed fundus photography and FAG. The disc-swelling pattern, hyperemia grade, presence of splinter hemorrhages, cotton-wool spots, artery/vein ratio and degree of focal telangiectasia were investigated. The FAG findings for each patient were compared with respect to the following features: the pattern of disc leakage in the early phase, arteriovenous (artery/vein) transit time (second), and the presence and pattern of the filling delay. RESULTS: Cotton-wool spots, focal telangiectasia, and venous congestion were more common in the affected eyes of NAION patients. Upon FAG, 76.5% of the patients in the ON group exhibited normal choroidal circulation. However, 56.5% of patients in the NAION group demonstrated abnormal filling defects, such as peripapillary, generalized, or watershed zone filling delays. CONCLUSIONS: Fundus findings, including cotton-wool spots, focal telangiectasia, and venous congestion in the affected eye, may be clues that can be used to diagnose NAION. In addition, choroidal insufficiencies on FAG could be also helpful in differentiating NAION from ON.
