The Retina Institute, St. Louis, Missouri..
The Retina Institute, St. Louis, Missouri.
Can J Ophthalmol. 2019 Feb;54(1):11-19. doi: 10.1016/j.jcjo.2018.10.003. Epub 2018 Nov 30.
Fundus autofluorescence (FAF) and widefield angiography (WFA) are relatively new imaging modalities becoming ubiquitous in many clinical practices. FAF uses the properties and distribution of retinal pigment to improve understanding of the pathophysiology of retinal diseases. Clinical applications of FAF continue to expand. It is noninvasive, and available on multiple platforms for clinicians. From monitoring progression of common diseases such as macular degeneration to evaluating drug toxicities, it has become a clinically important imaging modality in evaluating retinal disease. Similarly, fluorescein angiography has been useful in elucidating retinal vascular diseases not clearly evident by funduscopic examination alone. However, visualization of the peripheral retina with WFA has drastically improved ophthalmic providers' abilities to screen, diagnose, monitor, and treat various retinal vascular diseases. The aim of this review is to provide an overview of the role of FAF and WFA in common clinical practice, as well as limitations providers should be aware.
眼底自发荧光(FAF)和广角荧光血管造影(WFA)是相对较新的成像方式,在许多临床实践中已经广泛应用。FAF 利用视网膜色素的特性和分布来提高对视网膜疾病病理生理学的理解。FAF 的临床应用不断扩大。它是非侵入性的,并且在多个平台上都可供临床医生使用。从监测黄斑变性等常见疾病的进展到评估药物毒性,它已成为评估视网膜疾病的一种重要的临床成像方式。同样,荧光素血管造影在阐明仅凭眼底检查无法明确的视网膜血管疾病方面也很有用。然而,WFA 对外周视网膜的可视化极大地提高了眼科医生筛查、诊断、监测和治疗各种视网膜血管疾病的能力。本文旨在概述 FAF 和 WFA 在常见临床实践中的作用,以及临床医生应该注意的局限性。