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Br J Ophthalmol 89:730-738 doi:10.1136/bjo.2004.052159
  • Clinical science
    • Extended reports

Laser photocoagulation for radiation retinopathy after ophthalmic plaque radiation therapy

Table 5

 Finger classification of radiation retinopathy

Stage Sign Symptom Location Best viewed by Risk of vision loss
DA, disc areas.
Vision loss must be related to associated sign(s).
1 Cottonwool spots None Extramacular Ophthalmoscopy Mild
Retinal haemorrhages None Extramacular Ophthalmoscopy Mild
Retinal micro-aneurysms None Extramacular Ophthalmoscopy Mild
Ghost vessels None Extramacular Ophthalmoscopy Mild
Exudate None Extramacular Ophthalmoscopy Mild
Uveal effusion None Extramacular Ophthalmoscopy Mild
Chorioretinal atrophy None Extramacular Ophthalmoscopy Mild
Choroidopathy None Extramacular Angiography Mild
Retinal ischaemia (<5 DA) None Extramacular Angiography Mild
2 Above findings None Macular Both Moderate
3 Any combination of the above plus
Retinal neovascularisation Vision loss Extramacular Angiography Severe
Macular oedema—new onset Vision loss Macular Angiography Severe
4 Any combination of the above plus
Vitreous haemorrhage Vision loss Vitreous Ophthalmoscopy Severe
Retinal ischaemia (> or  = 5 DA) Vision loss Extramacular and macular Angiography Severe

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