Joint Archive of Continuing Education

44614-PD – 109481 Outline

The Role of Imaging in the Management of Retinal Diseases – Outline

  1. Overview of retinal imaging modalities
    1. OCT
    2. Fluorescein angiography
    3. ICG angiography
  2. Case Studies
    1. The use of imaging in establishing a diagnosis
    2. Imaging studies are useful in demonstrating pathophysiologic processes
    3. Vitreous abnormalities
      1. Asteroid hyalosis
      2. Prefoveal floaters
    4. Vitreoretinal interface abnormalities
      1. Normal anatomy
        1. Attached posterior hyaloid
        2. Posterior vitreous detachment
      2. Pathologic changes
        1. Vitreomacular traction
    5. Retinal surface abnormalities
      1. Epiretinal membrane
      2. Epiretinal membrane with pseudohole
    6. Intraretinal findings and abnormalities
      1. Macular edema
        1. Cystoid
        2. Diffuse
      2. Hard exudates
      3. Macular hole
    7. The subretinal space
      1. Subretinal fluid
        1. Central serous retinopathy
        2. Wet macular degeneration
        3. Severe CME
      2. Subretinal fibrosis and hemorrhage
    8. Retinal pigment epithelial (RPE) abnormalities
      1. Drusen
      2. RPE detachment
        1. Serous
        2. Fibrovascular / hemorrhagic
      3. RPE atrophy
      4. Solar Retinopathy
    9. Choroidal findings and abnormalities
      1. Normal choroidal vessels
      2. Choroidal neovascularization
  3. Synergy of Imaging Modalities
    1. OCT and angiography typically provide complementary information – not redundant information
    2. Using OCT and fluorescein angiography to determine the cause of macular edema in eyes that have multiple possible etiologies
      1. CME vs. DME
      2. Identifying cases of macular edema that will not likely respond to treatment

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