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采用荧光素和吲哚菁绿视频血管造影术评估年龄相关性黄斑变性中的脉络膜新生血管形成。

Evaluation of choroidal neovascularization in age-related macular degeneration with fluorescein and indocyanine green videoangiography.

作者信息

Atmaca L S, Batioğlu F, Atmaca P

出版信息

Ophthalmologica. 1996;210(3):148-51. doi: 10.1159/000310695.

Abstract

This study is performed to evaluate the fluorescein and indocyanine green (ICG) characteristics of choroidal neovascularization (CNV) in age-related macular degeneration (ARMD). 200 eyes of 101 patients were examined with digital ICG videoangiography (ICGV). 190 of the 200 eyes had macular lesions of ARMD, and CNVs were detected in 84 (44.2%) of them. Angiographies confirmed the presence of well-defined CNV in 40 (47.6%) eyes and occult CNV in 44 (52.4%) eyes. On ICG-videoangiographic examination, 6 (13.6%) of the 44 eyes with occult CNV had vascularized pigment epithelial detachment. 27 (61.4%) had a vascularized retinal pigment epithelium. Laser photocoagulation had been performed on the remaining 11 (25%) eyes. The results of this study suggest that ICGV is a valuable technique in the diagnosis and evaluation of occult CNVs and may be suggested as an additional diagnostic tool in cases with choroidal neovascular membranes.

摘要

本研究旨在评估年龄相关性黄斑变性(ARMD)中脉络膜新生血管(CNV)的荧光素和吲哚菁绿(ICG)特征。对101例患者的200只眼睛进行了数字ICG血管造影(ICGV)检查。200只眼中有190只患有ARMD黄斑病变,其中84只(44.2%)检测到CNV。血管造影证实40只(47.6%)眼睛存在明确的CNV,44只(52.4%)眼睛存在隐匿性CNV。在ICG血管造影检查中,44只隐匿性CNV眼睛中有6只(13.6%)出现了血管化色素上皮脱离。27只(61.4%)出现了血管化视网膜色素上皮。其余11只(25%)眼睛进行了激光光凝治疗。本研究结果表明,ICGV在隐匿性CNV的诊断和评估中是一种有价值的技术,对于脉络膜新生血管膜的病例,可作为一种额外的诊断工具。

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