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[吲哚菁绿视频血管造影术检测视网膜下新生血管]

[Detection of subretinal neovessels with indocyanine green videoangiography].

作者信息

Atmaca L, Batioğlu F, Atmaca P

机构信息

Clinique Ophtalmologique, Faculté de Médecine de l'Université d'Ankara, Turquie.

出版信息

J Fr Ophtalmol. 1997;20(3):189-94.

PMID:9099292
Abstract

PURPOSE

To evaluate the ability of indocyanine green videoangiography to delineate the subretinal neovascular membranes and to compare with fluorescein angiography.

METHODS

Between August 1993 and November 1994, digital fluorescein and indocyanine green videoangiography was performed in 214 eyes of 108 cases. Of the 108 cases, 96 had age-related macular degeneration, 6 had angioid streaks and 3 had degenerative myopia.

RESULTS

On fluorescein angiography, 47 of the 214 eyes had well-defined and 42 had occult subretinal neovascular membrane. Occult membranes were clearly delineated with indocyanine green angiography. Using these two angiographies, we could detect subretinal neovascular membrane in 89 eyes. These membranes were in 79 of the 181 eyes with age-related macular degeneration, 5 of the 12 eyes with angioid streaks and 2 of the 6 eyes with degenerative myopia. In addition, 3 eyes of the 3 cases had idiopathic subretinal neovascular membranes.

CONCLUSION

The results of this study indicate that ICG videoangiography is an adjunctive diagnostic tool to fluorescein angiography in the detection of subretinal neovascular membranes in age-related macular degeneration and in other chorioretinal pathologies.

摘要

目的

评估吲哚菁绿视频血管造影术描绘视网膜下新生血管膜的能力,并与荧光素血管造影术进行比较。

方法

1993年8月至1994年11月期间,对108例患者的214只眼进行了数字荧光素和吲哚菁绿视频血管造影。108例患者中,96例患有年龄相关性黄斑变性,6例患有血管样条纹,3例患有变性近视。

结果

在荧光素血管造影中,214只眼中有47只眼的视网膜下新生血管膜边界清晰,42只眼的为隐匿性视网膜下新生血管膜。隐匿性新生血管膜在吲哚菁绿血管造影中清晰可辨。使用这两种血管造影术,我们在89只眼中检测到了视网膜下新生血管膜。这些新生血管膜存在于181例年龄相关性黄斑变性患者的179只眼中、12例血管样条纹患者的5只眼中以及6例变性近视患者的2只眼中。此外,3例患者中的3只眼患有特发性视网膜下新生血管膜。

结论

本研究结果表明吲哚菁绿视频血管造影术是荧光素血管造影术在检测年龄相关性黄斑变性及其他脉络膜视网膜病变中的视网膜下新生血管膜时的辅助诊断工具。

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