December 2002
Volume 43, Issue 13
Free
ARVO Annual Meeting Abstract  |   December 2002
The Use of Indocyanine Green Angiography as an Adjunct to Fluorescein Angiography in the Diagnosis of Ruptured Retinal Arterial Macroaneurysms
Author Affiliations & Notes
  • CJ Chen
    Department of Ophthalmology University of MS Medical Ctr Jackson MS
  • CL Willingham
    Department of Ophthalmology University of MS Medical Ctr Jackson MS
  • Footnotes
    Commercial Relationships   C.J. Chen, None; C.L. Willingham, None.
Investigative Ophthalmology & Visual Science December 2002, Vol.43, 2550. doi:
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      CJ Chen, CL Willingham; The Use of Indocyanine Green Angiography as an Adjunct to Fluorescein Angiography in the Diagnosis of Ruptured Retinal Arterial Macroaneurysms . Invest. Ophthalmol. Vis. Sci. 2002;43(13):2550.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Abstract: : Purpose: To determine the usefulness of Indocyanine Green Angiography (ICG) as an adjunct to Fluorescein Angiography (FA) in diagnosing retinal arterial macroaneurysms associated with pre-retinal, intra-retinal, and subretinal hemorrhages. Methods: Retrospective FA and ICG analysis and chart review Results: 19 of 32 patients with the final diagnosis of retinal arterial macroaneurysms had associated overlying hemorrhages. The correct diagnosis was made with FA alone in 14 of 19 eyes (74%). In 4 of 19 eyes (21%) the FA failed to demonstrate the macroaneurysms, which were only seen with the use of ICG. In 1 of 19 eyes (5.3%) both the FA and ICG failed to show the macroaneurysm. The additional use of ICG showed the macroaneurysm in about 80% of the cases where the FA alone failed. Conclusion: ICG is often helpful in demonstrating macroaneurysms associated with hemorrhages when the FA fails. We recommend that if a hemorrhagic macroaneurysm is suspected, FA should be performed initially. If following FA, the diagnosis is uncertain, we recommend follow-up testing with ICG.

Keywords: 432 imaging methods (CT, FA, ICG, MRI, OCT, RTA, SLO, ultrasound) • 430 imaging/image analysis: clinical • 460 macula/fovea 
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