Copyright 2001 American Medical Association. All Rights Reserved.
Applicable FARS/DFARS Restrictions Apply to Government Use.2001
We thank Dr James L. Kinyoun for his constructive comments concerning
our article.1 The ocular symptoms that the
patient complained of initially included blurred vision in both eyes and paracentral
scotomas, particularly in his right eye. The published fundus photograph of
the right eye was taken at this initial visit. Unfortunately, no fluorescein
or indocyanine green angiogram was obtained at that time. We agree with Dr
Kinyoun that patchy choroidal filling may occur and must be differentiated
from choroidal ischemia. To demonstrate that choroidal filling defects persisted
longer than usually seen with irregular filling patterns, we show an arteriovenous
phase (17.3 seconds) of a fluorescein angiogram (Figure 1A) that was obtained 2 months later, at the time of visual
decrease. The late phase (12.9 minutes) clearly showed leakage of large retinal
veins (Figure 1B). We intended to
publish the follow-up fluorescein angiogram; however, the number of images
we were allowed to publish was restricted. As Dr Kinyoun correctly noticed,
the angiograms published in our original article were from 2 different dates.
Figure 2B in the original article was obtained 7 months after the initial
examination. Later phases of this angiogram also demonstrated absence of choroidal
Hoerauf H, Schmidt-Erfurth U. Fluorescein Angiograms Do Not Support Choroidal Ischemia. Arch Ophthalmol. 2001;119(4):622–623. doi:
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