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E. Baglivo, C. Seghelmeble, M. Bagnoud, A.B. Safran; Indocyanine Green Angiographic Features in Endogenous Candida Chorioretinitis . Invest. Ophthalmol. Vis. Sci. 2003;44(13):4036.
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Purpose: To describe indocyanine green (ICG) angiography (ICGA) findings and clinical features of endogenous mycotic endophthalmitis. Methods: Two patients (a female 62 years, a male 31 years) were addressed to investigate a progressive unilateral visual loss. Slit-lamp examination disclosed a macular chorioretinitis. A clinical work-up revealed a mycotic infection (candida albicans). Before treatment an ICGA was performed. Results: ICGA early frames disclosed hypofluorescent lesions. Progressively, the lesions were surrounded by a slight hyperfluorescence, although the centre of the lesions was still hypofluorescent. Conclusions: The presence and persistence of a hypofluorescent lesion, after introducing a specific treatment, led us to suspect a necrotic/ischaemic process affecting the choroidal vascular bed. ICGA provided additional information regarding the pathophysiological process and the patient’s functional visual recovery.
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