Female, 58 years, decimal visual 
acuity 1.0. Choroidal malignant melanoma with 
overlying orange pigment. Corresponding FAF 
picture shows areas of both hypo- and hyper-
fluorescence where the melanoma is located. The area of increased FAF corresponds to the 
areas of orange pigment. Figure 14. Female, 44 years, decimal visual acuity 
0.9. Large unpigmented nevus can be seen on the 
colour fundus image. On the FAF diffuse areas of 
hyper- and hypo- fluorescence can be seen. The 
patient was sent to the eye oncology department 
for further investigation, the patient is now being 
monitored on a regular basis. should always be seen together and compared to give 
the correct information. Our experience is that FAF imaging does not seem to 
aid the diagnosis of more acute conditions like haemor-
rhages, some forms of oedema and neovascularization, 
compared with regular colour imaging. The FAF shows 
a dark area over haemorrhages, mostly because of the 
blocked signal of light. However, when the haemor-
rhage has been long standing and have caused RPE 
disturbance or damage, the changes will demonstrate 
Figure 18. Male, 50 years, decimal visual acuity 
1.0. Untreated diabetes and high blood pres-
sure. Laser treatment has been performed and 
the scars are seen as evenly distributed black 
dots (with no fluorescence) of hypo FAF. The 
dark areas above the macula correspond to the 
exudates, seen on the colour fundus image. Figure 17. Male, 69 years, decimal visual acuity 
1.0. Presence of macular oedema, exudative 
retinopathy and haemorrhages. FAF shows signs 
of leakage, however, the early hard exudates are 
not as pronounced in the FAF image. Nor is the 
oedema visible in the FAF. Unfortunately an arti-
fact is visible at eight o´clock in both images.