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April 2001

Fluorescein Angiograms Do Not Support Choroidal Ischemia

Arch Ophthalmol. 2001;119(4):621-622. doi:

Hans Hoerauf et al1 present an interesting case of vision loss, possibly associated with choroidal ischemia following treatment with interferon-alfa-2b for metastatic renal cell carcinoma. I'm not certain, however, that the published photographs, particularly the fluorescein angiograms, support the conclusion of choroidal ischemia. Although the authors comment that ocular symptoms were noted roughly 1 month after beginning interferon treatment, they do not specify what those symptoms were. Interestingly, the visual acuity was 20/20 OU. In addition, if fundus photographs and fluorescein angiography were obtained when symptoms first occurred, it would be helpful to know the results of those examinations.

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