Ie D, Glaser B M, Murphy R P, Gordon L W, Sjaarda R N, Thompson J T
Retina Institute of Maryland, Baltimore.
Am J Ophthalmol. 1994 Jan 15;117(1):7-12. doi: 10.1016/s0002-9394(14)73008-9.
Using indocyanine green angiography we examined two patients with multiple evanescent white-dot syndrome. Both patients had unilateral loss of vision and a fundus appearance typical of multiple evanescent white-dot syndrome. Fluorescein angiography in both patients disclosed a patchy hyperfluorescent pattern at the level of the retinal pigment epithelium. Using indocyanine green angiography, we observed multiple deep, small, round hypofluorescent lesions that appeared early and persisted into the late phases. The spots appeared to block the underlying choroidal pattern. These hypofluorescent spots were clearly visible and present throughout the posterior pole. Many more spots were seen on indocyanine green angiography than were visible by clinical examination or angiography. After follow-up examinations, there was a rapid resolution of the spots over four to six weeks with return of vision. Our findings show that indocyanine green angiography can be a valuable tool in the recognition and further understanding of multiple evanescent white-dot syndrome.
我们使用吲哚菁绿血管造影术检查了两名多发性一过性白点综合征患者。两名患者均有单眼视力丧失，眼底表现具有多发性一过性白点综合征的典型特征。两名患者的荧光素血管造影均显示视网膜色素上皮层呈斑片状高荧光模式。使用吲哚菁绿血管造影术，我们观察到多个深部、小而圆的低荧光病变，这些病变出现较早并持续到晚期。这些斑点似乎遮挡了下方的脉络膜模式。这些低荧光斑点在后极部清晰可见且遍布整个区域。吲哚菁绿血管造影显示的斑点比临床检查或血管造影可见的要多得多。经过随访检查，这些斑点在四到六周内迅速消退，视力恢复。我们的研究结果表明，吲哚菁绿血管造影术在识别和进一步了解多发性一过性白点综合征方面可能是一种有价值的工具。
