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单侧隐匿性新生血管性年龄相关性黄斑变性患者对侧眼的吲哚菁绿血管造影结果

Indocyanine green angiographic findings in fellow eyes of patients with unilateral occult neovascular age-related macular degeneration.

作者信息

Schneider U, Gelisken F, Inhoffen W, Kreissig I

机构信息

Department of Ophthalmology III (Retina and Vitreous Surgery), University Eye Clinic, Tübingen, Germany.

出版信息

Int Ophthalmol. 1997;21(2):79-85. doi: 10.1023/a:1005848806641.

DOI:10.1023/a:1005848806641
PMID:9405989
Abstract

PURPOSE

To determine the role of indocyanine green angiography (ICGA) in the prediction of the development of choroidal neovascularization (CNV).

METHODS

We reviewed the ICG angiograms of 124 patients with newly diagnosed unilateral occult CNV secondary to age-related macular degeneration (AMD) in whom the fellow eye had only drusen by biomicroscopy and fluorescein angiography. Follow-up data of at least 12 months were obtained in all eyes.

RESULTS

113 fellow eyes had a normal ICG study, while 11 fellow eyes revealed plaque-like late hyperfluorescence. During an average follow-up time of 18.2 months exudative AMD developed in 7 of 11 eyes with late hyperfluorescence on ICGA and in 6 of 113 with a normal ICGA study.

CONCLUSION

ICGA may help to predict which fellow eyes are at higher risk of developing future exudative changes.

摘要

目的

确定吲哚菁绿血管造影(ICGA)在预测脉络膜新生血管(CNV)发生发展中的作用。

方法

我们回顾了124例新诊断为单侧隐匿性CNV继发于年龄相关性黄斑变性(AMD)患者的ICG血管造影片,这些患者的对侧眼通过生物显微镜检查和荧光素血管造影仅发现有玻璃膜疣。所有眼睛均获得了至少12个月的随访数据。

结果

113只对侧眼ICG检查正常,而11只对侧眼显示出斑块状晚期高荧光。在平均18.2个月的随访期内,ICGA显示晚期高荧光的11只眼中有7只发生了渗出性AMD,ICG检查正常的113只眼中有6只发生了渗出性AMD。

结论

ICGA可能有助于预测哪些对侧眼发生未来渗出性改变的风险更高。

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Incomplete response to Anti-VEGF therapy in neovascular AMD: Exploring disease mechanisms and therapeutic opportunities.抗 VEGF 治疗在新生血管性 AMD 中的不完全反应:探索疾病机制和治疗机会。
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