The Value of Fluorescein Fundus Angiography in Evaluating Optic Disc Oedema

Abstract

43 patients with blurred disc margins were studied by means of fluorescein fundus angiography. The differentiation between very early disc oedema and a normal disc was possible, due to an increased capillary network, some microaneurysms and the late fluorescence located in a special circular manner at disc margin. It was not possible to differentiate between optic neuritis and papilloedema, although minor differences may exist. Ischaemic optic neuropathy is a type of optic disc oedema which clearly differs from other causes of oedema when studied by fluorescein fundus angiography. The method is especially suitable in differentiating pseudopapilloedema from genuine oedema of the optic disc.

Optic Disc Drusen — A Photographic Study I. Autofluorescence Pictures and Fluorescein Angiography

“…Fluorescein angiography has been used for almost 20 years to differentiate papilloedema from pseudopapilloedema (Barrios 1963 ;Miller et al 1965 ;Amalric & Bonnin 1969;Blair & Walsh 1969;Oosterhuis & Boen-Tan 1969;Rosen 1969;Heydenreich et al 1973;Chawla 1974;Saraux et al 1975;Anmarkrud 1977;Cartlidge et al 1977;Kottow 1980). Capillary dilatation and leakage with microaneurysms at the optic nerve head and diffuse long-persisting papillary fluorescence fading out into the surrounding retina and along the retinal vessels are not seen in pseudopapilloedema.…”

Isolated unilateral disk edema

“…605,606,611 Fluorescein angiography (FA) has been applied in UDE in order to help identify associations of disk edema. 612 FA appears to be most useful in cases of anterior ischemic optic neuropathy 613 due to the filling delays noted for the choroid observed in arteritic forms, 614 or the ONH in non-arteritic forms. 615 Indocyanine green angiography has not been shown to be a better diagnostic instrument than standard FA.…”

The Role of Optical Coherence Tomography Angiography in Optic Nerve Head Edema: A Narrative Review

“…Fluorescein angiography has been used to assess vascular changes of the ONH in diferent pathologies, and it is showed to be useful in detecting ONH edema in the presence of ODD [10,11]. OCT angiography (OCTA) is a novel, noninvasive, reproducible, sensitive, contrast-free, 3dimensional ocular imaging technology that provides structural and possibly functional information about superfcial and deep retinal and choroidal vasculature [12][13][14].…”