Clinical and Autofluorescence Findings in Eyes with Pinguecula and Pterygium

Clinical and Autofluorescence Findings in Eyes with Pinguecula and Pterygium

Blog Article

Abstract Purpose: To assess the autofluorescence size and properties of pterygium and pinguecula by anterior segment autofluorescence (AS-AF) imaging and demonstrate the difference of autofluorescence size presented in AS-AF imaging compared to the extend size of the conjunctival lesion measured by anterior segment slit-lamp photography (AS-SLE).Methods: Twenty-five patients with primary pterygium and twenty-five with pinguecula were included in the study.In addition, 25 normal subjects were also enrolled as the control group.The AS-AF characteristics of pterygium and pinguecula lesions were analyzed.The size of lesions displayed in the AS-SLE photography versus the AS-AF images were also compared.

AS-AF images were obtained using click here a Heidelberg retina angiograph which focused on the anterior segment.AS-SLE photography was acquired using a digital imaging system (BX900 HAAG-STREIT).Results: There were 44 (58.7%) male and 31 (41.3%) female patients; 19 (76%) and 20 (80%) patients had bilateral pterygium and pinguecula, respectively.

All pinguecula lesions reflected hyperautofluorescence pattern in the AS-AF imaging.In 24 (96%) patients, the hyperautofluoresecence pattern was larger than the size of the clinical lesions displayed with the AS-SLE photography.Twenty-one (84%) patients with pterygium reflected a hyperautofluorescence pattern in AS-AF images; in one (4%) patient, the hyperautofluorescence pattern was larger than the clinical lesion size and four (16%) patients had no autofluorescence patterns in the AS-AF images.In the control group, in 14 (56%) subjects, a hypoautofluorescent pattern was revealed in the conjunctiva in AS-AF images.However, in 11 (44%) patients, hyperautofluorescence patterns were detected.

Conclusion: click here AS-AF is a useful modality to monitor vascularization in conjunctival lesions.Pingueculae and pterygium show hyperautofluorescence in AS-AF imaging.The real size of the pinguecula lesions may be estimated with AS-AF characteristics, mostly presenting larger than the area size in AS-SLE photography.The autofluorescence size of the pterygium is smaller than the extent of visible pterygium in slit-lamp photography.