Herein we describe the characteristics of scanning laser ophthalmoscope imaging (SLO), and particularly of near-infrared fundus autofluorescence modality (IRAF), in photic maculopathy. IRAF visualizes selectively the melanin granules contained in the cells of the Retinal Pigment Epithelium (RPE), which are normally localized in the apical portion of RPE cells, a favorite target of the photic damage to the retina. In the present work we report a three-month follow-up of a case of photic maculopathy, showing that the retinal alterations found by IRAF precisely matched the retinal anomalies found by macular optical coherence tomography, and had a parallel evolution. We think that IRAF could represent a useful imaging modality, together with more conventional imaging, in the management of photic maculopathy.
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