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This meeting has been awarded 20 CME credits

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Use of ultra-wide-field retinal imaging in the management of active Behçet's retinal vasculitis

Session Details

Session Title: Quick Fire Free Paper 4

Session Date/Time: Sunday 14/09/2014 | 08:00-10:00

Paper Time: 08:55

Venue: Boulevard B

First Author: : M.Mesquida SPAIN

Co Author(s): :    V. Llorens   J.R. Fontenla   A. Adán        

Abstract Details

Purpose:

Retinal vasculitis (RV) is an important component of Behçet's disease (BD). It may be difficult to detect either clinically or with conventional retinal imaging. We assessed the role of ultra-wide-field (UWF) retinal imaging in the diagnosis and management of RV associated to BD.

Setting:

Ophthalmology Department, Hospital Clinic of Barcelona, University of Barcelona

Methods:

A total of 38 eyes of 20 patients with active RV associated to BD underwent UWF imaging with the Optos scanning laser ophthalmoscope (SLO), fundus autofluorescence (FAF), and fluorescein angiography (FA). We determined the UWF findings and percentage of patients in whom this imaging technology assisted in diagnosing the extent of vasculitis, planning treatment, and monitoring disease activity.

Results:

Optos UWF assisted in diagnosing and quantifying the extent of RV in 16 patients (80%), planning medical treatment or laser photocoagulation in 13 of 20 patients (65%), and enhanced disease monitoring in 11 of 20 patients (55%). UWF FA revealed vasculitis not clinically evident in 28 out of 33 eyes (84.8%). Predominant angiographic findings were diffuse vascular leakage (75.7%), peripheral retinal nonperfusion (66.7%), optic disc leakage (63.6%), macular leakage (30.3%), and macular edema (27.3%). Eighteen patients (34 eyes) underwent UWF FAF, showing multiple hyperfluorescent spots in retinal periphery in 28 eyes (82.3%).

Conclusions:

UWF is a valuable tool in the management of patients with RV associated to BD and can be used for the diagnosis, treatment, and follow-up. Additional studies, including longitudinal evaluations, are needed to elucidate whether these findings, or the subsequent management alterations, may improve patient's outcomes.

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