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   Table of Contents      
OPHTHALMIC IMAGE
Year : 2019  |  Volume : 67  |  Issue : 3  |  Page : 408

Multicolor imaging in neovascularization of disc


Department of Vitreo Retina, Aditya Birla Sankara Nethralaya, 147, Mukundapur, E.M. Bypass, Kolkata, West Bengal, India

Date of Web Publication18-Feb-2019

Correspondence Address:
Dr. Rupak Roy
Aditya Birla Sankara Nethralaya, 147, Mukundapur, E.M. Bypass, Kolkata - 700 099, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1522_18

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How to cite this article:
Goel S, Garg B, Shah AV, Mishra S, Saurabh K, Roy R. Multicolor imaging in neovascularization of disc. Indian J Ophthalmol 2019;67:408

How to cite this URL:
Goel S, Garg B, Shah AV, Mishra S, Saurabh K, Roy R. Multicolor imaging in neovascularization of disc. Indian J Ophthalmol [serial online] 2019 [cited 2019 May 24];67:408. Available from: http://www.ijo.in/text.asp?2019/67/3/408/252414



A 72-year-old male was diagnosed with bilateral proliferative diabetic retinopathy. Neovascularization of the disc (NVD) was seen in left eye [Figure 1]a. The fundus fluorescein angiography showed NVD [Figure 1]b. In multicolor imaging (MCI), fibrovascular nature of neovascularization was better seen than the color fundus photography (CFP)[Figure 1]c. Green reflectance highlighted both vascular and fibrous components of this NVD [Figure 1]d.
Figure 1: Neovascularization on the superior disc margin (arrow) was visible in the color fundus photography (CFP) of the left eye (a). Fundus fluorescein angiography showed leakage from neovascularization at disc (NVD) (arrow) (b). However, when multicolor imaging (MCI) is used, the fibrovascular nature of the neovascularization was seen in much greater detail -this “tuft” is much more complex and extensive when seen with MCI (arrow head) than seen with CFP (c). Green reflectance also provides clear evidence of both the vascular (arrow) and fibrous (arrow head) components of this NVD (d)

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MCI is a novel retinal imaging modality.[1] The use of MCI has been described in various disorders.[2],[3],[4],[5] This image highlights the use of MCI in picking up NVD or neovascularization elsewhere noninvasively, which may be missed by CFP.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Tan AC, Fleckenstein M, Schmitz-Valckenberg S, Holz FG. Clinical application ofmulticolor imaging technology. Ophthalmologica2016;236:8-18.  Back to cited text no. 1
    
2.
KilicMuftuoglu I, Bartsch DU, Barteselli G, Gaber R, Nezgoda J, Freeman WR. Visualization of macularpucker by multicolor scanning laser imaging. Retina 2018;38:352-8.  Back to cited text no. 2
    
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Graham KW, Chakravarthy U, Hogg RE, Muldrew KA, Young IS, Kee F. Identifying features of early and late age-related macular degeneration: A comparison of multicolor versus traditional color fundus photography. Retina 2018;38:1751-8.  Back to cited text no. 3
    
4.
Thomas NR, Ghosh PS, Chowdhury M, Saurabh K, Roy R. Multicolor imaging in optic discswelling. Indian J Ophthalmol2017;65:1251-5.  Back to cited text no. 4
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5.
Saurabh K, Roy R, Chowdhury M. Efficacy of multicolor imaging in patientswith asteroid hyalosis: Seeing the Unseen. JAMA Ophthalmol 2018;136:446-7.  Back to cited text no. 5
    


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