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Fig. 6 | Journal of Ophthalmic Inflammation and Infection

Fig. 6

From: Pearls and pitfalls of optical coherence tomography angiography in the multimodal evaluation of uveitis

Fig. 6

Left eye of a patient illustrating the discrete white retinal lesions or “spots” of MEWDS (a). FAF (b) highlights the hyper-autofluorescence of the “spots” due to unmasking of the underlying RPE autofluorescence as a result of photoreceptor loss. ICGA illustrates hypofluorescence of these lesions (c). This is due to poor absorption of ICG by a diseased RPE-photoreceptor complex, not the result of choroidal ischemia. This is confirmed by the en face OCT (d) that illustrates hyporeflectance of the “spots” at the RPE-photoreceptor level, and by OCTA (e) of the choroid that does not display any evidence of choriocapillaris ischemia (f)

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