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Fundus:
Retina or the back part of the eye. Fluorescense is a property of
substance to alter the wavelength of the reflected light on exciting.
Angiography means recording of the angios or the blood vessels.
It is basically recording and visualization of the blood vessels
of the retina using fluorescein dye.
Procedure:
In FFA, the chemical or dye is injected in the vein of the hand
and this dye circulates all over the body and in every blood vessel.
Since retina is the only place in the body where blood vessels can
be seen, it is used to visualize the retinal vasculature, that is
blood vessels of the retina. A special machine called the fundus
camera, which has got special lens filters, is used to take photographs
of the retina. We can also attach digital camera system or a printer.
When blue light falls on retina which has Fluorescein dye the reflected
light is of green colour & not blue. This property of dye is
used to study the normal or abnormal anatomy of retina. This dye
and the reflected light is greenish in color. The fundus camera
records this. This dye would go wherever the blood vessels are present
in retina and we would get the picture of that.
If blood vasculature of the retina is normal, then we would get
the normal pattern of the retina. If there were blockage then the
dye would not go beyond that and would stop at that particular point.
If there is leakage, the dye would also leak out along with the
blood in the retina and we would be able to pick up that. If there
are certain other defects in the retina then depending on the various
features seen, whether we get leakages or staining or blocked fluorescence
or window defects whether the dye seen in early phase, late phase
or in very late phase or delayed phase and is initially less and
increasing etc, we can get very good idea of patients disease.
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FFA PHOTOGRAPHS
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BEFORE INJECTING DYE
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AFTER INJECTING DYE
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Colour Photograph
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Black & White Photograph
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Late Stage
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