Fluorescein Fundus Angiography in Behcet's Disease.

Shin, Hanho; Koo, Kwang Il; Shin, Ne Yong

Case Report

Journal of the Korean Ophthalmological Society 1977;18(4):335-343.
Published online April 1, 1977.

Fluorescein Fundus Angiography in Behcet's Disease.

Hanho Shin, Kwang Il Koo, Ne Yong Shin

Shin Ne Yong Eye Hospital, Seoul, Korea.

Behcet 병의 형광안저소견

신환호 , 구광일 , 신예용 ( Han Ho Shin , Kwang Il Koo , Ne Yong Shin )

Abstract

Since its introduction, fluorescein angiography has been widely used in diagnosing and evaluating treatment of diseases of the retina, uveal tract, and optic nerve. A case with Behcet's disease was studied by means of fluorescein fundus angiography. This, pre summed a retinal angiopathy, has been diagnosed Behcet's disease after developing symptoms of hypopyon iritis, intermittent fever, aphthous stomatitis, and genital ulceration. The fluorescein angiography in Behcet's disease is typically shown a specific finding. Extravasation of the dye waS most conspicuous in capillaries over-lying the optic nerve head, the radial peripapillary capillaries, retinal capillaries proper and retinal veins. Retinal arteriols generally lacked extravasation phenomenon. Edematous swelling of the disc, diffuse turbidity of the posterior fundus and macular cysts are regarded as consquences of the fluorographically confirmed increased permeability of the retinal vessels with resultant edema of the neuropithelium. Pathogenesis of the retinal angiopathy in Behcet's disease and diseases with retinal edema and hyperpermeability were discussed with references. The fluorographic findings thus indicate that the pathological involvement of retinal vessels play a major factor in the diagnosis and prognosis of ocular manifestation of Behcet's disease.