Goldstein, the director of uveitis in the Department of Ophthalmology and Magerstadt Professor of Ophthalmology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, delivered a presentation on the value of imaging in uveitis at the 33rd Annual Jack Crawford Day, the annual paediatric ophthalmology update organised by the University of Toronto. Goldstein described how optical coherence tomography (OCT), OCT-enhanced depth imaging (EDI), fluorescein fundus angiography (FFA) and indocyanine green (ICG) angiography are invaluable in the assessment of patients with uveitis.
ICG angiography revealed hundreds of small choroidal lesions, changing the diagnosis from anterior uveitis to panuveitis. The prior therapy of topical steroids was inadequate, and the disease responded to immunotherapy. “EDI provides easily obtainable information in cases such as VKH and birdshot, and ICG can provide even more information about the choroid,” Goldstein concluded.