title: A prospective, observational study on the application of ultra-wide-field angiography in the evaluation and management of patients with anterior uveitis.
abstract: OBJECTIVE
  Evaluation of peripheral retinal vascular changes in anterior uveitis using ultra-wide-field fluorescein angiography.
  
  
  METHODS
  A prospective, observational study of a case series of patients diagnosed with anterior uveitis.
  
  
  METHODS
  
  
  
  METHODS
  Clinical observation at an academic medical center. Patient or Study Population: A total of 65 eyes of 33 patients corresponded with the research criteria of anterior uveitis in the opinion of specialists of Peking University First Hospital.
  
  
  METHODS
  Patients were diagnosed primarily through clinical examinations and conventional fluorescein angiography. Subsequently, ultra-wide-field fluorescein angiograms were obtained for each patient.
  
  
  METHODS
  The main outcome was the detection of peripheral retinal changes by ultra-wide-field fluorescein angiography, and how these changes influenced the evaluation and management of the disease.
  
  
  RESULTS
  Peripheral vessel leakage was detected in 27 eyes (42%) with anterior uveitis, of which 15 eyes displayed active inflammation and 12 eyes displayed inactive inflammation. Peripheral vessel leakage was found in seven of eight eyes with cystoid macular edema. Cystoid macular edema was detected in 7 of 27 eyes (26%) with peripheral vessel leakage, whereas 1 of 38 eyes (3%) did not display peripheral vessel leakage (p<0.01). 44.4% of the patients with peripheral vessel leakage had a specific etiology. The relevant treatment strategies were modified based on the results of the ultra-wide-field fluorescein angiography. 12 patients with peripheral vessel leakage and a quiescent anterior segment were added to those receiving topical glucocorticoids, while 3 patients with serious peripheral vessel leakage and an active anterior segment received a sub-Tenon injection of triamcinolone acetonide.
  
  
  CONCLUSIONS
  Ultra-wide-field fluorescein angiography was very effective in detecting peripheral retinal vascular pathology in anterior uveitis. The changes found in the periphery were important in the evaluation and management of anterior uveitis.
authors: Department of Ophthalmology, Peking University First Hospital, Beijing China; Key Laboratory of Vision Loss and Restoration, Ministry of Education, Beijing, China.
authors: Ying
authors: Y
authors: Chi
authors: Department of Ophthalmology, Peking University First Hospital, Beijing China; Key Laboratory of Vision Loss and Restoration, Ministry of Education, Beijing, China.
authors: Chunying
authors: C
authors: Guo
authors: Department of Ophthalmology, Peking University First Hospital, Beijing China; Key Laboratory of Vision Loss and Restoration, Ministry of Education, Beijing, China.
authors: Yuan
authors: Y
authors: Peng
authors: Department of Ophthalmology, Peking University First Hospital, Beijing China; Key Laboratory of Vision Loss and Restoration, Ministry of Education, Beijing, China.
authors: Lijun
authors: L
authors: Qiao
authors: Department of Ophthalmology, Peking University First Hospital, Beijing China; Key Laboratory of Vision Loss and Restoration, Ministry of Education, Beijing, China.
authors: Liu
authors: L
authors: Yang
mesh_terms: D000328:Adult; D000792:Angiography / Q000379:methods*; D004487:Edema / Q000000981:diagnostic imaging* / Q000473:pathology; D005260:Female; D006801:Humans; D007249:Inflammation / Q000000981:diagnostic imaging* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D012160:Retina / Q000000981:diagnostic imaging / Q000503:physiopathology; D014606:Uveitis, Anterior / Q000000981:diagnostic imaging* / Q000503:physiopathology