Investigations for macular edema.

 Fundus Fluorescein Angiography

 Optical Coherences Tomography

 Confocal scanning laser ophthalmoscope

 Scanning laser polarimetry

Fundus Fluorescein Angiography
Fundus Fluorescein Angiography
Fundus Fluorescein Angiography
Fundus Fluorescein Angiography
Fundus Fluorescein Angiography
Fundus Fluorescein Angiography
Fundus Fluorescein Angiography
Optical Coherence Tomography
OCT Images the Macula Using a 6 mm Radial Pattern to
Reveal the Anatomy Responsible for Poor Vision
OCT Cross-Sectional Images
Z axis:
1024 data points over a 2 mm depth Vitreous
with resolution of 10 microns

1024

X-Y axis:
repeated up to 512 times 1024
every 50-60 microns
512
OCT Interpretation
 Post-Cataract Surgery
OCT Reveals the Cause of Poor Vision

Cystic Formations of CME

Epiretinal Membrane Macular Thickening

Image: Bay Area Retina Stratus OCT

 Post-Cataract Case Study

Fundus Photo
Revealed Mild
RPE Changes and
Subtle Macular
Wrinkles.
 Post-Cataract Case Study

Fluorescein
Angiography
Showed No
Leakage or CME.
Post-Cataract Case Study
OCT Scan Showed an Epiretinal Membrane and Thickening
Not Visible With Fundus Photo or FA.
Post-Cataract Case Study
One Week After Surgery, OCT Revealed Some Reduction in
Macular Thickness and Absence of the Epiretinal Membrane
Pre-Op Post-Op
Diabetic Macular Edema

Fluid Buildup

Image: Bay Area Retina Stratus OCT

Retinal Thickening
Diabetic Macular Edema Case Study

FA showed minimal leakage

Minimal leakage on FA
Diabetic Macular Edema Case Study:
The Truth
OCT Revealed Central Macular Edema. Based on These
Findings, Patient Treated With Intravitreal Triamcinolone