USEFULNESS OF INDOCYANINE GREEN ANGIOGRAPHY TO DEPICT THE DISTANT RETINAL VASCULAR ANOMALIES ASSOCIATED WITH BRANCH RETINAL VEIN OCCLUSION CAUSING SEROUS MACULAR DETACHMENT
USEFULNESS OF INDOCYANINE GREEN ANGIOGRAPHY TO DEPICT THE DISTANT RETINAL VASCULAR ANOMALIES ASSOCIATED WITH BRANCH RETINAL VEIN OCCLUSION CAUSING SEROUS MACULAR DETACHMENT
复制标题
DOI：
10.1097/iae.0b013e31821c40a9
复制
发表时间：
2012-02-01
影响因子：
3.3
通讯作者：
Nishida, Kohji
中科院分区：
文献类型：
--
作者：
Ueda, Tomoko;Gomi, Fumi;Nishida, Kohji
目的：目的：探讨吲哚菁绿色血管造影（ICGA）对视网膜血管异常伴远侧分支视网膜静脉阻塞致黄斑部浆液性视网膜脱离的诊断价值。眼底血管造影及ICGA检查显示6眼视网膜静脉远端分支阻塞。结果：除浆液性视网膜脱离外，5只眼黄斑周围有硬性渗出物。血管造影和ICGA清楚地显示血管闭塞;然而，任何眼睛的黄斑区均未出现明显异常。在四只眼睛中，早期ICGA描绘了静脉阻塞区域内的视网膜血管异常，而这些异常在晚期ICGA上被视为高荧光斑块。在2只眼中，在晚期ICGA上在静脉闭塞区域中观察到点状高荧光斑点。光学相干断层扫描显示黄斑部有浆液性视网膜脱离，从黄斑部到ICGA上的高荧光异常的外核层有视网膜肿胀。结论：视网膜分支静脉阻塞后继发的血管异常渗漏可引起黄斑下积液。吲哚菁绿色血管造影术可用于检测流体的致病血管区域。视网膜32：308-313，2012
Purpose: To report the usefulness of indocyanine green angiography (ICGA) to depict the retinal vascular anomalies associated with distant branch retinal vein occlusion resulting in serous retinal detachment at the macula.Methods: This was a retrospective, case series of 6 patients (6 eyes) with serous retinal detachments. Fluorescein angiography and ICGA showed that those 6 eyes had a distant branch retinal vein occlusion. The characteristics in ophthalmic examinations such as fundus appearance, fluorescein angiography, ICGA, optical coherence tomography, and clinical courses were evaluated.Results: In addition to serous retinal detachments, five eyes exhibited hard exudates around the macula. Fluorescein angiography and ICGA clearly showed the vessel occlusion; however, no apparent abnormalities appeared in the macular area in any of the eyes. In four eyes, early-phase ICGA depicted the retinal vascular anomalies within the area of venous occlusion and those were seen as hyperfluorescent patches on late-phase ICGA. In two eyes, punctate hyperfluorescent spots were seen in the area of venous occlusion on late-phase ICGA. Optical coherence tomography depicted a serous retinal detachment at the macula and retinal swelling in the outer nuclear layer from the macula to the hyperfluorescent abnormalities on ICGA. The macular serous retinal detachments were resolved within 3 months after laser photocoagulation was applied to the hyperfluorescent areas on ICGA.Conclusion: Leakage from subsequent vascular anomalies after branch retinal vein occlusion can cause submacular fluid. Indocyanine green angiography is useful for detecting the causative vascular regions of the fluid. RETINA 32:308-313, 2012