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Wide-Field Imaging in Infectious Uveitis

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Atlas of Wide-Field Retinal Angiography and Imaging

Abstract

Retinal and choroidal infectious diseases can be challenging to diagnose and treat. Diagnosis often requires careful clinical examination of the peripheral retina. Ultra-wide field (UWF) technology may add significantly to the sensitivity of detecting the presence of disease activity. Posterior uveitis can be associated with significant changes in the peripheral retina that may be missed by conventional, narrow-field fluorescein angiograms. However, those peripheral findings can be easily visualized using UWF fluorescein angiography (FA), which has been reported to be more useful than traditional FA and can be particularly helpful in following up patients with uveitis. Wide-field fundus autofluorescence (FAF) images may reveal more retinal or chorioretinal abnormalities in patients with posterior uveitis, with a farther extended demarcation than wide-field composite color fundus imaging.

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References

  1. Jabs DA. Cytomegalovirus retinitis and the acquired immunodeficiency syndrome—bench to bedside: LXVII. Edward Jackson Memorial Lecture. Am J Ophthalmol. 2011;151:198–216.e1.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Mudvari SS, Virasch VV, Singa RM, MacCumber MW. Ultra-wide-field imaging for cytomegalovirus retinitis. Ophthalmic Surg Lasers Imaging. 2010;41:311–5.

    Article  PubMed  Google Scholar 

  3. Urban B, Bakunowicz-Aazarczyk A, Michalczuk M. Immune recovery uveitis: pathogenesis, clinical symptoms, and treatment. Mediators Inflamm. 2014;2014:971417.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Wong RW, Jumper JM, McDonald HR, Johnson RN, Fu A, Lujan BJ, et al. Emerging concepts in the management of acute retinal necrosis. Postgrad Med J. 2013;97:478–85.

    Article  Google Scholar 

  5. Roy R, Pal BP, Mathur G, Rao C, Das D, Biswas J. Acute retinal necrosis: clinical features, management and outcomes—a 10 year consecutive case series. Ocul Immunol Inflamm. 2014;22:170–4.

    Article  PubMed  Google Scholar 

  6. Pleyer U, Schlüter D, Mänz M. Ocular toxoplasmosis: recent aspects of pathophysiology and clinical implications. Ophthalmic Res. 2014;52:116–23.

    Article  PubMed  Google Scholar 

  7. Moshfeghi DM, Dodds EM, Couto CA, Santos CI, Nicholson DH, Lowder CY, et al. Diagnostic approaches to severe atypical toxoplasmosis mimicking acute retinal necrosis. Ophthalmology. 2004;111:716–25.

    Article  PubMed  Google Scholar 

  8. Adan A, Giralt J, Alvarez G, Alforja S, Burés-Jesltrup A, Casaroli-Marano RP, et al. Pars plana vitrectomy for vitreoretinal complications of ocular toxoplasmosis. Eur J Ophthalmol. 2009;19:1039–43.

    PubMed  Google Scholar 

  9. Gupta V, Gupta A, Rao NA. Intraocular tuberculosis-an update. Surv Ophthalmol. 2007;52:561–87.

    Article  PubMed  Google Scholar 

  10. Llorenç V, González-Martin J, Keller J, Rey A, Pelegrín L, Mesquida M, et al. Indirect supportive evidence for diagnosis of tuberculosis-related uveitis: from the tuberculin skin test to the new interferon gamma release assays. Acta Ophthalmol. 2013;91:e99–107.

    Article  PubMed  Google Scholar 

  11. Nazari Khanamiri H, Rao NA. Serpiginous choroiditis and infectious multifocal serpiginoid choroiditis. Surv Ophthalmol. 2013;58:203–32.

    Article  PubMed  Google Scholar 

  12. Bansal R, Gupta A, Gupta V, Dogra MR, Sharma A, Bambery P. Tubercular serpiginous-like choroiditis presenting as multifocal serpiginoid choroiditis. Ophthalmology. 2012;119:2334–42.

    Article  PubMed  Google Scholar 

  13. Parchand S, Tandan M, Gupta V, Gupta A. Intermediate uveitis in Indian population. J Ophthalmic Inflamm Infect. 2011;1:65–70.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Tabbara KF. Tuberculosis. Curr Opin Ophthalmol. 2007;18:493–501.

    Article  PubMed  Google Scholar 

  15. Gupta A, Bansal R, Gupta V, Sharma A, Bambery P. Ocular signs predictive of tubercular uveitis. Am J Ophthalmol. 2010;149:562–70.

    Article  PubMed  Google Scholar 

  16. Singh R, Toor P, Parchand S, Sharma K, Gupta V, Gupta A. Quantitative polymerase chain reaction for Mycobacterium tuberculosis in so-called Eales’ disease. Ocul Immunol Inflamm. 2012;20:153–7.

    Article  CAS  PubMed  Google Scholar 

  17. Davis JL. Ocular syphilis. Curr Opin Ophthalmol. 2014;25:513–8.

    Article  PubMed  Google Scholar 

  18. Fonollosa A, Martinez-Indart L, Artaraz J, Martinez-Berriotxoa A, Agirrebengoa K, Garcia M, et al. Clinical manifestations and outcomes of syphilis-associated uveitis in northern Spain. Ocul Immunol Inflamm. 2014;14:1–6.

    Article  Google Scholar 

  19. Mathew RG, Goh BT, Westcott MC. British Ocular Syphilis Study (BOSS): 2-year national surveillance study of intraocular inflammation secondary to ocular syphilis. Invest Ophthalmol Vis Sci. 2014;55:5394–400.

    Article  PubMed  Google Scholar 

  20. Balaskas K, Sergentanis TN, Giulieri S, Guex-Crosier Y. Fluorescein and indocyanine-green angiography in ocular syphilis: an exploratory study. Graefes Arch Clin Exp Ophthalmol. 2012;250:721–30.

    Article  PubMed  Google Scholar 

  21. Davis JL. Diagnostic dilemmas in retinitis and endophthalmitis. Eye (Lond). 2012;26:194–201.

    Article  CAS  Google Scholar 

  22. Hoevenaars NE, Gans D, Missotten T, van Rooij J, Lesaffre E, van Meurs JC. Suspected bacterial endophthalmitis following intravitreal anti-VEGF injection: case series and literature review. Ophthalmologica. 2012;228:143–7.

    Article  CAS  PubMed  Google Scholar 

  23. Jackson TL, Paraskevopoulos T, Georgalas I. Systematic review of 342 cases of endogenous bacterial endophthalmitis. Surv Ophthalmol. 2014;59:627–35.

    Article  PubMed  Google Scholar 

  24. Adam CR, Sigler EJ. Multimodal imaging findings in endogenous Aspergillus endophthalmitis. Retina. 2014;34:1914–5.

    Article  PubMed  Google Scholar 

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Correspondence to Alfredo Adán MD, PhD .

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Adán, A., Llorenç, V., Mesquida, M. (2016). Wide-Field Imaging in Infectious Uveitis. In: Kozak, I., Arevalo, J. (eds) Atlas of Wide-Field Retinal Angiography and Imaging. Springer, Cham. https://doi.org/10.1007/978-3-319-17864-6_14

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  • DOI: https://doi.org/10.1007/978-3-319-17864-6_14

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-17864-6

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