摘要
目的：用吲哚青绿血管造影（ｉｎｄｏｃｙａｎｉｎｅｇｒｅｅｎａｎｇｉｏｇｒａｐｈｙ，ＩＣＧＡ）观察老年黄斑变性（ａｇｅ－ｒｅｌａｔｅｄｍａｃｕｌａｒｄｅ－ｇｅｎｅｒａｔｉｏｎ，ＡＭＤ）黄斑出血掩盖的脉络膜新生血管（ｃｈｏｒｏｉｄａｌｎｅｏｖａｓｃｕｌａｒｉｚａｔｉｏｎ，ＣＮＶ）。方法：对２２例２４只眼ＡＭＤ黄斑出血患者作眼底彩色照相、眼底荧光血管造影（ｆｕｎｄｕｓｆｌｕｏｒｅｓｃｅｉｎａｎｇｉｏｇｒａｐｈｙＦＦＡ）及ＩＣＧＡ检查，并对两种不同的眼底血管造影图像进行比较和分析。结果：ＩＣＧＡ检查在本组ＡＭＤ黄斑出血病例显示了ＣＮＶ的如下特点：①ＩＣＧＡ发现了ＦＦＡ未能发现的ＣＮＶ；②ＩＣＧＡ较准确地判断了ＣＮＶ的位置；③ＩＣＧＡ发现ＣＮＶ的数量比ＦＦＡ多，更全面地显示ＣＮＶ；④ＩＣＧＡ较准确地显示了ＣＮＶ的范围大小。结论：ＩＣＧＡ能较全面、准确地揭示ＡＭＤ黄斑出血所掩盖的ＣＮＶ，并能扩大适于激光光凝的ＣＮＶ范围及提高激光光凝的成功率。
PURPOSE:To search for the occult choroidal neovascularization(CNV)of age related macular degeneration(AMD)with macular hemorrhage using indocyanine green angiography(ICGA).METHODS:FFA and ICGA were performed in a series of 22 cases(24 eyes)of AMD with macular hemorrhage,and the findings of both angiograms were compared each other.RESULTS:ICGA was found to be superior than FFA in evaluating the occult CNV of AMD with hemorrhage owing to the following outstanding findings in this series,i.e., in judging the presence,position,number and range of the occult CNV.CONCLUSION:ICGA is an important technique in diagnosing the subretinal occult CNV in AMD with macular hemorrhage,and useful in selecting therapeutic measures including photocoagulation and surgical treatment.
出处
《中华眼底病杂志》
CAS
CSCD
北大核心
1997年第3期146-149,共4页
Chinese Journal of Ocular Fundus Diseases
关键词
吲哚花青绿
血管造影
黄斑变性
诊断
老年人
Indocyanine green/diagnostic use Fluorescein angiography Macular degeneration/diagnosis Retinal hemorrhage/diagnosis
