Abstract
PURPOSE: To describe the indocyanine green angiographic pattern of retinal pigment epithelium tears in the setting of age-related macular degeneration compared with the fluorescein angiographic features.
METHODS: Twelve consecutive patients (12 eyes) with a retinal pigment epithelium tear underwent simultaneous indocyanine green angiography and fluorescein angiography with the confocal scanning laser ophthalmoscope. The findings for the two modes were compared.
RESULTS: Choroidal neovascular membrane was evident beneath the rolled retinal pigment epithelium on indocyanine green angiograms in 11(92%) of 12 eyes: a focal neovascular membrane was apparent in five (42%) of 12 eyes, whereas a plaque neovascular membrane was seen in six (50%) of 12 eyes. In comparison, fluorescein angiography demonstrated late leakage as a result of occult choroidal neovascular membrane in nine (82%) of 11 eyes but no well-defined choroidal neovascular membrane.
CONCLUSIONS: Indocyanine green angiography is superior to fluorescein angiography for imaging choroidal neovascularization in cases of retinal pigment epithelium tear and may serve as an important adjunct to indocyanine green-guided laser treatment in selected cases.
| Original language | English |
|---|---|
| Pages (from-to) | 331-9 |
| Number of pages | 9 |
| Journal | American Journal of Ophthalmology |
| Volume | 128 |
| Issue number | 3 |
| DOIs | |
| State | Published - Sep 1999 |
Keywords
- Aged
- Aged, 80 and over
- Capillary Permeability
- Choroidal Neovascularization/diagnosis
- Cohort Studies
- Female
- Fluorescein Angiography
- Humans
- Indocyanine Green
- Lasers
- Macular Degeneration/complications
- Male
- Middle Aged
- Ophthalmoscopes
- Pigment Epithelium of Eye/pathology
- Retinal Perforations/diagnosis