Fluoreszenzangiographie in Der Augenheilkunde

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Format: Hardcover
Pub. Date: 2008-01-03
Publisher(s): Springer Verlag
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Summary

Bei der technischen Weiterentwicklung von Angiographiesystemen konnte in den letzten Jahren ein enormer Fortschritt erzielt werden. Hierdurch hat sich die Bildqualit??t bei der Fluoreszein- und Indozyaningr??n-Angiographie erheblich verbessert. Auch durch die wesentlich genaueren M??glichkeiten der Autofluoreszenz-Bestimmung k??nnen ganz neue Einblicke in die Pathogenese insbesondere von Makula- und Netzhauterkrankungen gewonnen werden. In dem neuen Fluoreszenzangiographie-Atlas von Dithmar und Holz werden die Grundlagen der Fluoreszein- und Indozyaningr??n-Angiographie sowie der Autofluoreszenz-Bestimmung dargestellt. Die verschiedenen angiographischen Merkmale klinischer Krankheitsbilder werden anhand praxisrelevanter Fallbeispiele herausgearbeitet. Dabei wurde bei der Bildauswahl besonderes Augenmerk auf die Qualit??t sowie auf klar erkennbare, typische Ver??nderungen gelegt. Der Atlas bietet so einen ??berblick ??ber die facettenreichen angiographischen Befunde retinologischer Krankheitsentit??ten und Differenzialdiagnosen. Auch der nicht selbst angiographierende Augenarzt wird von diesem Atlas in seinem pathophysiologischen und klinischen Verst??ndnis profitieren.

Table of Contents

The physical and chemical fundamentals of fluorescence angiographyp. 1
Fluorescencep. 2
Fluoresceinp. 2
Indocyanine Greenp. 3
The Technical Fundamentals of Fluorescence Angiographyp. 5
The basic design of a scanning laser ophthalmoscopep. 6
Light Sourcesp. 7
Lasers for Fluorescein Angiographyp. 7
Lasers for red-free fundus imagingp. 8
Lasers for Indocyanine green (ICG) angiographyp. 9
Lasers for reflective infrared imagingp. 9
The Fundamentals of Optical Imaging 9
The confocal principlep. 9
Resolution in depthp. 10
Resolution in breadthp. 10
The Heidelberg Retina Angiograph 2p. 10
HRA2-Parameters for basic imaging modesp. 11
Simultaneous modep. 11
Composite modep. 12
Fixation assistancep. 12
Wide angle objectivep. 12
ART modulep. 12
Examination of the anterior segmentp. 12
Stereoscopic imagingp. 12
Components of the analytical softwarep. 13
Normal Fluorescence Angiography and General Pathological Fluorescence Phenomenap. 15
Normal Fluorescence Angiography and general pathological fluorescence phenomenap. 16
Choroidp. 16
Cilioretinal vesselsp. 16
Optic discp. 16
Retinal vesselsp. 16
Maculap. 16
Sclerap. 17
Irisp. 17
Normal ICG-Angiographyp. 17
Pathological fluorescence phenomenap. 17
Hyperfluorescencep. 17
Hypofluorescencep. 18
Fundus Autofluorescencep. 31
Introductionp. 32
Scanning laser ophthalmoscopy and modified fundus photographyp. 32
Methodsp. 32
Fundamentalsp. 32
The operational sequence of a fundus examination with the cSLOp. 32
Lipofuscin in the retinal pigment epitheliump. 33
Normal fundus autofluorescencep. 33
Fundus autofluorescence - typical findingsp. 33
Macular Disordersp. 55
Age-Related Macular Degeneration (AMD)p. 56
Drusenp. 56
Irregular Pigmentation of the Retinal Pigment Epithelium (RPE)p. 62
Geographic atrophy of the RPEp. 62
Choroidal Neovascularization (CNV)p. 64
Classic Choroidal Neovascularizationp. 64
Occult Choroidal Neovascularizationp. 69
Mixed Formsp. 74
Localization of Choroidal Neovascularizationp. 74
Serous Detachment of the Retinal Pigment Epitheliump. 76
Breaks in the Retinal Pigment Epithelium (RPE)p. 82
Idiopathic Polypoid Choroidal Vasculopathyp. 84
Retinal Angiomatous Proliferation (RAP)p. 86
Disciform Scarringp. 88
Fluorescein Angiographic Phenomena Following Therapyp. 90
Laser Coagulationp. 90
Photodynamic Therapy (PDT)p. 90
Anti VEGF Therapyp. 90
Cystoid Macular Edemap. 102
Hereditary Macular Disordersp. 104
Stargardt's Diseasep. 104
Fundus Flavimaculatusp. 104
Best's Disease (Vitelliform Macular Dystrophy)p. 106
Pattern Dystrophies of the Retinal Pigment Epithelium (RPE)p. 108
Congenital X-Chromosome Retinoschisisp. 110
Adult Vitelliform Macular Degeneration (AVMD)p. 112
The Macular Degeneration of Myopiap. 114
Angioid Streaksp. 116
Central Serous Chorioretinopathy (CSC)p. 118
Chronic Idiopathic Central Serous Chorioretinopathy (CICSC)p. 120
Idiopathic Juxtafoveal Teleangiectasiasp. 122
Epiretinal Gliosisp. 124
Macular Holesp. 126
Chloroquine Maculopathyp. 128
Retinal Vascular Diseasep. 131
Diabetic Retinopathyp. 132
Nonproliferative Diabetic Retinopathyp. 132
Proliferative Diabetic Retinopathyp. 134
Hypertensive Retinopathyp. 136
Retinal Arterial Occlusionsp. 138
Occlusion of the Central Retinal Arteryp. 138
Branch Retinal Artery Occlusionp. 138
Retinal Vein Occlusionsp. 140
Central Retinal Vein Occlusion (CRVO)p. 140
Tributary Retinal Vein Occlusionp. 144
Retinal Macroaneurysmsp. 146
Coats' Diseasep. 148
Retinal Capillary Hemangiomap. 150
Cavernous Hemangioma of the Retina.152
Vascular Tortuosityp. 154
Inflammatory Retinal/Choroidal Diseasep. 157
Toxoplasmic Retinochoroiditisp. 158
Multifocal Choroiditisp. 160
Acute Posterior Multifocal Placoid Pigment Epitheliopathy (APMPPE)p. 162
Punctate inner Choroidopathy (PIC)p. 166
Presumed Ocular Histoplasmosis Syndrome (POHS)p. 168
Birdshot Chorioretinopathyp. 170
Perivasculitisp. 173
Occlusive Retinal Vasculitisp. 173
Inflammatory Macular Edemap. 178
Serpiginous Choroiditisp. 180
Diseases of the Optic Nerve Headp. 183
Congenital Anomalies of the Optic Discp. 184
Oblique Insertion of the Optic Nervep. 184
Myelinated Nerve Fibersp. 184
Drusen of the Optic Discp. 186
Coloboma of the Optic Discp. 190
Optic Pitp. 190
Capillary Hemangioma of the Juxtapapillary Retinap. 194
Endophytic Growthp. 194
Sessile Growthp. 194
Exophytic Growthp. 198
Pigmented Optic Disc Anomaliesp. 200
Anterior Ischemic Optic Neuropathyp. 202
Papillitisp. 204
Papilledemap. 206
Parapapillary Choroidal Neovascularizationp. 208
Intraocular Tumorsp. 211
Choroidal Melanomap. 212
Choroidal Metastasesp. 214
Choroidal Hemangiomap. 218
Subject Indexp. 221
Table of Contents provided by Publisher. All Rights Reserved.

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