Abstract
Purpose To investigate the indocyanine green (ICG) angiographic findings of healed traumatic choroidal ruptures.
Methods Three eyes of two patients with choroidal ruptures underwent both fluorescein angiography and ICG angiography with a digital high-resolution system.
Results Fundus examination showed healed choroidal ruptures in all three eyes. Two of the eyes had old macular scars and one eye had a recent choroidal neovascular membrane with serous detachment of the macula. On fluorescein angiography, the choroidal ruptures showed hypofluorescence at very early stages followed by late hyperfluorescence. On ICG angiography, the choroidal ruptures were hypofluorescent in early, mid and late phases. ICG angiography provided a clear delineation of the choroidal ruptures. In all eyes, the lesion was better defined on the ICG angiogram than on the fluorescein angiogram.
Conclusions ICG angiography can be helpful in the clinical evaluation of choroidal ruptures and can be used together with fluorescein angiography for the diagnosis and follow-up of choroidal ruptures.
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References
Aguilar JP, Green WR . Choroidal rupture: a histopathologic study of 47 cases. Retina 1984;4:269–75.
Smith RE, Kelly JS, Harbin TS . Late macular complications of choroidal ruptures. Am J Ophthalmol 1974;77:650–8.
Flower RW . Choroidal angiography today and tomorrow. Retina 1992;12:189–99.
Arend O, Remky A, Eisner AE, Wolf S, Rein M . Indocyanine green angiography in traumatic choroidal rupture: clinicoangiographic case reports. Ger J Ophthalmol 1995;4:257–63.
Baltatzis S, Ladas ID, Panagiotidis D, Theodossiadis GP . Multiple posttraumatic choroidal ruptures obscured by hemorrhage: imaging with indocyanine green angiography. Retina 1997;17:352–4.
Eagling EM . Ocular damage after blunt trauma to the eye: its relationship to the nature of the injury. Br J Ophthalmol 1974;58:126–40.
Atmaca LS, Yilmaz M . Changes in the fundus caused by blunt ocular trauma. Ann Ophthalmol 1993;25:447–52.
Kelley JS, Dhaliwal RS . Traumatic chorioretinopathies. In: Ryan SJ, editor. Retina, 2nd ed., vol. 2. St Louis: CV Mosby, 1994:1790–1.
Kempster RC, Green RW, Finkelstein D . Choroidal rupture: clinicopathologic correlation of an unusual case. Retina 1996;16:57–63.
Flower RW . Physical optics concepts related to obtaining and interpreting indocyanine green angiograms. In: Yanuzzi LA, Flower RW, Slakter JS, editors. Indocyanine green angiography. St Louis: CV Mosby, 1997:105–18.
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Akman, A., Kadayifcilar, S., Oto, S. et al. Indocyanine green angiographic features of traumatic choroidal ruptures. Eye 12, 646–650 (1998). https://doi.org/10.1038/eye.1998.162
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DOI: https://doi.org/10.1038/eye.1998.162