Ophthalmic findings in Behcet׳s disease: Cases without apparent ocular signs

• Main Authors: Hormoz Chams, Negin Mohtasham, Fereydoun Davatchi, Farhad Shahram, Abdolhadi Naji, Zahra Aalami Harandi, Noushin Karimi
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2015-03-01
• Series: Journal of Current Ophthalmology
• Subjects: Behcet׳s disease; Montage fluorescein angiography; Infrared autofluorescence; Branching pattern of retinal vasculature
• Online Access: http://www.sciencedirect.com/science/article/pii/S245223251500013X

Purpose: To evaluate the fluorescein angiography and infrared autofluorescence finding in patients with confirmed Behcet׳s disease (BD) but without clinical ocular signs. Methods: In this prospective, non-interventional case series, montage fluorescein angiography (MFA) and infrared autofluorescence imaging were performed for all patients with confirmed BD but without ocular signs in clinical examination. Results: Fifty BD patients (100 eyes) without clinical ocular manifestations were investigated. In MFA, we found fluorescein angiography (FA) leakage in 22 cases (44%) in both eyes, mostly at the periphery of retina. In infrared autofluorescence, profound changes were found in 43 patients, 86 eyes (86%). Twenty-five patients, 50 eyes (50%), presented retinal vascular branching modifications, straightening, tortuosity, and shunt. Conclusion: MFA of retina may be useful in patients with presumed BD for early diagnosis, early treatment, and follow-up of patients.