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外伤性脉络膜破裂的吲哚菁绿血管造影特征

Indocyanine green angiographic features of traumatic choroidal ruptures.

作者信息

Akman A, Kadayifçilar S, Oto S, Aydin P

机构信息

Department of Ophthalmology School of Medicine, Başkent University, Ankara, Turkey.

出版信息

Eye (Lond). 1998;12 ( Pt 4):646-50. doi: 10.1038/eye.1998.162.

Abstract

PURPOSE

To investigate the indocyanine green (ICG) angiographic findings of healed traumatic choroidal ruptures.

METHODS

Three eyes of two patients with choroidal ruptures underwent both fluorescein angiography and ICG angiography with a digital high-resolution system.

RESULTS

Fundus examination showed healed choroidal ruptures in all three eyes. Two of the eyes had old macular scars and one eye had a recent choroidal neovascular membrane with serous detachment of the macula. On fluorescein angiography, the choroidal ruptures showed hypofluorescence at very early stages followed by late hyperfluorescence. On ICG angiography, the choroidal ruptures were hypofluorescent in early, mid and late phases. ICG angiography provided a clear delineation of the choroidal ruptures. In all eyes, the lesion was better defined on the ICG angiogram than on the fluorescein angiogram.

CONCLUSIONS

ICG angiography can be helpful in the clinical evaluation of choroidal ruptures and can be used together with fluorescein angiography for the diagnosis and follow-up of choroidal ruptures.

摘要

目的

研究愈合性外伤性脉络膜破裂的吲哚菁绿(ICG)血管造影表现。

方法

两名脉络膜破裂患者的三只眼接受了荧光素血管造影和使用数字高分辨率系统的ICG血管造影。

结果

眼底检查显示所有三只眼均为愈合性脉络膜破裂。其中两只眼有陈旧性黄斑瘢痕,一只眼有近期脉络膜新生血管膜伴黄斑浆液性脱离。在荧光素血管造影中,脉络膜破裂在极早期显示为低荧光,随后为晚期高荧光。在ICG血管造影中,脉络膜破裂在早期、中期和晚期均为低荧光。ICG血管造影清晰地勾勒出脉络膜破裂的轮廓。在所有眼中,ICG血管造影上的病变比荧光素血管造影上的病变显示得更清晰。

结论

ICG血管造影有助于脉络膜破裂的临床评估,可与荧光素血管造影一起用于脉络膜破裂的诊断和随访。

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