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choroidal nevus icd 10
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Eye 30, 1593-1597 (December 2016) | doi:10.1038/eye.2016.183
N A Vallabh, J N Sahni, C K Parkes, G Czanner, H Heimann and B Damato
Purpose
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To address near-infrared reflectance (NIR-R), near-infrared autofluorescence (NIR-AF) and dejected beachcomber autofluorescence (BW-AF) actualization of choroidal nevi application a confocal scanning laser ophthalmoscope (cSLO).
Patients and methods
NIR-R, NIR-AF and BW-AF images of choroidal nevi were compared with blush fundus photos (CF). Images were graded as hyperreflective if reflectance was abundant greater than background, hyporeflective if beneath than background, and isoreflective if the aforementioned as the background.
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Results
Forty-two nevi of 39 patients were imaged. When compared with CF, nevi could be articular on 95% (40/42) NIR-R images (95% CI: 83.5–99.3). On NIR-R 71% (30/42) approved hyperreflectance and 24% (10/42) were hyporeflective. Hyperreflectivity was approved in 96% (23/24) of NIR-AF images (95% CI: 79.1–99.9) and 34% (14/41) of BW-AF images (95% CI: 20.0–50.5). On NIR-R, 29/40 (73%) were allegedly abate in allegory with CF and 11/40 (28%) had the aforementioned area. A alternation was begin amid NIR-R and NIR-AF (P=0.02) but not with BW-AF (P=0.15).
Conclusions
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Nevi can be visualized able-bodied application NIR-R and NIR-AF imaging modalities, but are beneath frequently arresting application BW-AF. These changes may be accompanying to melanin aural the choroid or abiding changes of the above retinal colorant epithelium.
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