British Journal of Ophthalmology 2008;92:585
Copyright © 2008 by the BMJ Publishing Group Ltd.
At a glance
Harminder S Dua,
Arun D Singh
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Macular pseudoholes and lamellar holes
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Differentiation between macular pseudoholes and lamellar holes can be difficult. 50 eyes of 46 consecutive patients diagnosed by OCT as having a foveal defect with residual retinal tissue were reviewed. Eyes classified as having pseudoholes (28) had macular centres and perifoveal retinas significantly thicker than the 22 eyes with lamellar macular holes. The corresponding corrected autofluorescence (AF) images were then evaluated. None of the control eyes showed foveal AF. Bottoni et al observed that AF imaging is superior to OCT data when differentiating between macular pseudoholes and lamellar holes, as presence of foveal AF is indicative of foveal tissue loss and, therefore, is diagnostic of a lamellar macular hole.
See pages 635
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Autofluorescence of choroidal melanoma
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Shields et al describe the autofluorescence features of choroidal melanoma in 51 consecutive patients. The choroidal melanoma showed intrinsic hypoautofluorescence (39%), isoautofluorescence (6%) and hyperautofluorescence (55%). Related RPE hyperplasia and atrophy showed hypoautofluorescence, drusen, RPE detachment and subretinal . . . [Full text of this article]
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