The role of fundus flurescence angiography, autoflurescence and optical coherence tomography in the diagnosis of Multifocal pattern dystrophy

Abstract

Purpose: To present the clinical imaging procedures necessary to diagnose multifocal pattern dystrophy of the retinal pigment epithelium. Case report and methods: 57 year old woman, with moderate reduction of visual acuity, was evaluated with fundus photography autoflourescence, optical coherence tomography and fundus flourescence angiography, true which the clinical diagnosis of multifocal pattern distrophy was made. Results: imaging techniques showed creamy yellow spots in the paramacular region and along blood vessels. On OCT, the changes were in the area of the outer retinal layers. with focal destruction of the ellipsoid zone and the outer limiting membrane. FFA produced hypoflourescence zones, lined with hyperflourescence in the macular region and along the vascular arcades. Conclusion: the lesions described by the diagnostic modalities corresponded to the date and findings we consulted from the literatures and diagnosis of multifocal pattern dystrophy was made, excluding the differential - diagnostic challenges we faced in evaluating this case.