Tang Peter H, Lee Michael S, van Kuijk Frederik J G M
Ophthalmic Surg Lasers Imaging Retina. 2016 May 1;47(5):471-3. doi: 10.3928/23258160-20160419-11.
Vision loss in giant cell arteritis (GCA) often presents as anterior ischemic optic neuropathy and central retinal artery occlusion. Previous studies have established an acute delay in choroidal perfusion on fluorescein angiography (FA) as a classic sign of GCA. The authors present a unique imaging case report of GCA where ultra wide-field (UWF) indocyanine green angiography (ICGA) offers improved characterization of delayed choroidal perfusion compared to FA. Routine use of ICGA, particularly UWF imaging, in patients with suspected GCA should be studied in a larger cohort to determine whether it may improve detection of choroidal perfusion delay. [Ophthalmic Surg Lasers Imaging Retina. 2016;47:471-473.].
巨细胞动脉炎（GCA）导致的视力丧失通常表现为前部缺血性视神经病变和视网膜中央动脉阻塞。以往的研究已证实，荧光素血管造影（FA）显示脉络膜灌注急性延迟是GCA的典型征象。作者报告了一例独特的GCA影像学病例，与FA相比，超广角（UWF）吲哚菁绿血管造影（ICGA）能更好地显示延迟的脉络膜灌注。对于疑似GCA的患者，应在更大的队列中研究ICGA（尤其是UWF成像）的常规应用，以确定其是否能提高脉络膜灌注延迟的检出率。[《眼科手术、激光与影像学杂志》2016年；47卷：471 - 473页。]
