Fluorescein Angiography (FFA)

Overview

Fluorescein angiography is a diagnostic imaging technique that uses intravenous sodium fluorescein dye and a specialized camera to photograph retinal and choroidal vasculature in sequential phases. It is a cornerstone of retinal diagnostics.

Mechanism / How It Works

  • Details to be added from dedicated source — dye properties, excitation/emission wavelengths, phases (choroidal flush, arterial, AV, venous, late/recirculation), normal vs abnormal patterns

FFA in Retinal Arterial Macroaneurysm

From the RAM source, FFA shows:

  • Saccular (sac-like) aneurysms: fill in the mid-to-late phase — pooling of dye within the outpouching
  • Fusiform (spindle-shaped) aneurysms: fill in the early phase — dye follows the dilated vessel segment
  • Vessel wall staining is typical
  • Late leakage may be present, indicating active exudation
  • Helpful when hemorrhage obscures the aneurysm on fundoscopy

Indications & Contraindications

  • Details to be expanded — full indications list, contraindications (allergy, pregnancy, renal impairment), adverse reactions

Sources

Gap: This page covers FFA only in the RAM context. Needs a comprehensive source on FFA technique, phases, normal patterns, and interpretation of hyperfluorescence/hypofluorescence across all retinal conditions.