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[Dynamic angiography in age related macular degeneration]
C Torrón Fernández-Blanco1, S Pérez Oliván, B Melcon Sánchez-Friera
1Servicio de Oftalmología, Hospital Miguel Servet, Zaragoza, España.
Purpose:
To evaluate the utility of dynamic angiography with fluorescein and indocyanine green with scanning laser ophthalmoscope (SLO) in exudative age-related macular degeneration.
Method:
We retrospectively studied 95 patients with exudative age-related macular degeneration (ARMD) between April 98 and April 01.
Results:
We studied 102 eyes of 95 patients with ARMD. Mean age was 75.3 years with a mean follow-up time of 16.8 months. We found an occult or mixed angiographic membrane pattern with fluorescein angiography in 85 eyes (83.3%). Angiography with indocyanine green showed choroidal neovascular membranes in 94 of 102 eyes (92.1%). The most frequent location found was sub-foveal (53.2%). Laser photocoagulation was used in 55 eyes and photodynamic therapy in 5 eyes. In 17 eyes laser treatment failed to close the membrane.
Conclusion:
Dynamic angiography with fluorescein or indocyanine green allowed neovascular membrane identification in more than 90% of the cases of ARMD. Successful treatment was achieved in 42% of cases.