Fundus Autofluorescence in Posterior and Panuveitis—An Under-Estimated Imaging Technique: A Review and Case Series

Author:

Mauschitz Matthias M.1,Zeller Markus1,Sagar Pradeep2,Biswal Suchitra2,Guzman Gabriela1,Terheyden Jan H.1ORCID,Meyer Carsten H.34ORCID,Holz Frank G.1,Heinz Carsten56ORCID,Pleyer Uwe78ORCID,Finger Robert P.9,Wintergerst Maximilian W. M.13ORCID

Affiliation:

1. Department of Ophthalmology, University Hospital Bonn, University of Bonn, 53127 Bonn, Germany

2. Sankara Academy of Vision, Sankara Eye Hospital Shimoga, Shimoga 577202, India

3. Augenzentrum Grischun, 7000 Chur, Switzerland

4. Department of Ophthalmology, Philipps University, 35037 Marburg, Germany

5. Department of Ophthalmology, St. Franziskus-Hospital Muenster, 48145 Muenster, Germany

6. Department of Ophthalmology, University Duisburg-Essen, 45122 Essen, Germany

7. Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 13353 Berlin, Germany

8. Department of Ophthalmology, Berlin and Berlin Institute of Health, 13353 Berlin, Germany

9. Department of Ophthalmology, University Medical Center Mannheim, Heidelberg University, 68167 Mannheim, Germany

Abstract

Fundus autofluorescence (FAF) is a prompt and non-invasive imaging modality helpful in detecting pathological abnormalities within the retina and the choroid. This narrative review and case series provides an overview on the current application of FAF in posterior and panuveitis. The literature was reviewed for articles on lesion characteristics on FAF of specific posterior and panuveitis entities as well as benefits and limitations of FAF for diagnosing and monitoring disease. FAF characteristics are described for non-infectious and infectious uveitis forms as well as masquerade syndromes. Dependent on the uveitis entity, FAF is of diagnostic value in detecting disease and following the clinical course. Currently available FAF modalities which differ in excitation wavelengths can provide different pathological insights depending on disease entity and activity. Further studies on the comparison of FAF modalities and their individual value for uveitis diagnosis and monitoring are warranted.

Funder

University of Bonn

Ernst und Berta Grimmke Stiftung

Else Kroener-Fresenius Foundation

Publisher

MDPI AG

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