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[Indocyanine green angiography in angioid streaks]
M C Blanco Rivera1, F Gómez Ulla De Irazazábal, J Ferrer Jaureguizar
1Unidad de Retina Médica y Diabetes Ocular, Facultad de Medicina, Servicio de Oftalmología, Complejo Hospitalario Universitario de Santiago, España. ciulla@usc.es
Purpose:
To define the findings of an indocyanine green angiographic study of angioid streaks and compare them with the ophthalmoscopic and fluorescein angiographic findings.
Patients And Methods:
Twelve eyes of six patients with bilateral angioid streaks were examined by ophthalmoscopy, fluorescein angiography, and indocyanine green angiography.
Results:
In the ophthalmoscopy, the streak colors ranged from brown in the early phases to orange in severe stages. The streaks already presented a hyperfluorescent pattern from the arterial phases in all of the eyes with the fluorescein angiography. Using the indocyanine green angiography filling of the choroidal veins, a hyperfluorescent pattern was observed in eight eyes with severe lesional changes and a hypofluorescent pattern in four eyes with an early stage of the disease. The angioid streaks were more clearly visualized by indocyanine green angiography.
Conclusion:
The indocyanine green angiography contributes to the diagnosis of angioid streaks. The indocyanine patterns seems to be correlated with the ophthalmoscopic features and degree of evolution of the disease. The indocyanine green angiography allows for the early detection of angioid streaks and diagnosis in young patients.