Mohammed Idrees Adhi, Aijaz Ahmed Ansari, Misbah UI Aziz, Khwaja Sharif UI Hasan.
Clinical Audit of Fundus Fluorescein Angiograms.
Pak J Ophthalmol Jan ;13(1):3-7.

To study the spectrum of medical retinal problems, we analyzed the findings of 445 Fundus Fluorescein Angiograms (FFA) performed from 1990 to 1995. Vascular disorders were the most common, comprising 40.9% (182 patients). In this group, diabetic retinopathy was seen in 117 patients (26.29%) while 60 patients (13.48% had venous occlusion. Degenerative retinal disorders were diagnosed in 72 patients (16.18%). In this group Agerelated Macular Degeneration (ARMD) was present in 60 patients (13.48%) Eight patients had angioid streaks, 4 out of which were diagnosed as pseudoxanthoma elasticum. In acquired macular disorders, central serous chorioretinopathy (CSCR) was the most common and was diagnosed in 25 patients (5.6%). Among the inflammatory retinal disorders, acute posterior multifocal placoid pigment epitheliopathy (APMPPE) was seen in 23 patients (5.17%). Optic disc pathology was noted in 35 patients (7.8%). Stargardt`s disease and fundus flavimaculatus were common among the group of retinal dystrophy. In the miscellaneous group, 13 (2.92%) patients were identified with exudative retinal detachment. In 3 (0.67%) of these patients, retinal detachment was due to metastasis. Not a single case of primary choroidal tumor was identified. This series gives a general idea of medical retinal diseases in Pakistan. The pattern of retinal diseases in noted to be different as compared to what is seen in the West.

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