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Intraoperative Indocyanine Green Videoangiography in Subretinal Surgery

Intraoperative Indocyanine Green Videoangiography in Subretinal Surgery Abstract In some cases of occult choroidal neovascularization (CNV) visualized with fluorescein angiography, indocyanine green videoangiography (ICGV) performed on an outpatient basis may identify distinct areas of ICG dye (Cardiogreen, Becton Dickinson, Cockeysville, Md) hyperfluorescence.1 A recent histopathologic report has confirmed the presence of CNV in an area of ICG hyperfluorescence (W. R. Green, MD, oral communication, December 1993); however, the precise clinical significance of these areas remains to be determined. Indocyanine green dye excitation and emission spectra occur in the nearinfrared range, thereby allowing improved penetration of fluorescence through intraocular pigments, fluid, or thin layers of hemorrhage. We describe herein a system that can be used to perform real-time intraoperative ICGV during subretinal surgery. This system may be used to identify CNV after removal of thick subretinal hemorrhage, to identify areas of CNV for potential excision or endolaser treatment, and to confirm the adequacy of surgical excision of CNV References 1. Yannuzzi LA, Slakter JS, Sorenson JA, Guyer DR, Orlock DA. Digital indocyanine green videoangiography . Retina . 1992;12:191-223.Crossref 2. Avery RL, Hickingbotham D, Jaffe G, De Juan EJr. Intraoperative fluorescein angioscopy in subretinal surgery . Arch Ophthalmol . 1992;110:1518-1519.Crossref 3. Googe JM, Bessler M, Hoskins JC, Miller JH. Intraoperative fluorescein angiography . Ophthalmology . 1993;100:1167-1170.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Intraoperative Indocyanine Green Videoangiography in Subretinal Surgery

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Publisher
American Medical Association
Copyright
Copyright © 1994 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1994.01090190014006
Publisher site
See Article on Publisher Site

Abstract

Abstract In some cases of occult choroidal neovascularization (CNV) visualized with fluorescein angiography, indocyanine green videoangiography (ICGV) performed on an outpatient basis may identify distinct areas of ICG dye (Cardiogreen, Becton Dickinson, Cockeysville, Md) hyperfluorescence.1 A recent histopathologic report has confirmed the presence of CNV in an area of ICG hyperfluorescence (W. R. Green, MD, oral communication, December 1993); however, the precise clinical significance of these areas remains to be determined. Indocyanine green dye excitation and emission spectra occur in the nearinfrared range, thereby allowing improved penetration of fluorescence through intraocular pigments, fluid, or thin layers of hemorrhage. We describe herein a system that can be used to perform real-time intraoperative ICGV during subretinal surgery. This system may be used to identify CNV after removal of thick subretinal hemorrhage, to identify areas of CNV for potential excision or endolaser treatment, and to confirm the adequacy of surgical excision of CNV References 1. Yannuzzi LA, Slakter JS, Sorenson JA, Guyer DR, Orlock DA. Digital indocyanine green videoangiography . Retina . 1992;12:191-223.Crossref 2. Avery RL, Hickingbotham D, Jaffe G, De Juan EJr. Intraoperative fluorescein angioscopy in subretinal surgery . Arch Ophthalmol . 1992;110:1518-1519.Crossref 3. Googe JM, Bessler M, Hoskins JC, Miller JH. Intraoperative fluorescein angiography . Ophthalmology . 1993;100:1167-1170.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jul 1, 1994

References