You are seeing this message because your Web browser does not support basic Web standards. Find out more about why this message is appearing and what you can do to make your experience on this site better.


ABOUT ARCHIVES
Advanced Search

Welcome   | My Account | E-mail Alerts | Access Rights | Sign In


  Vol. 113 No. 11, November 1995 TABLE OF CONTENTS
  Archives
  •  Online Features
  ARTICLE
 This Article
 • Reply to article
 •Send to a friend
 • Save in My Folder
 •Save to citation manager
 •Permissions
 Citing Articles
 •Citation map
 •Citing articles on HighWire
 •Contact me when this article is cited
 Related Content
 •Similar articles in this journal

Imaging of chorioretinal anastomoses in vascularized retinal pigment epithelium detachments

D. Kuhn, I. Meunier, G. Soubrane and G. Coscas
Department of Ophthalmology of University Paris-XII--Cretil, France.

OBJECTIVE: To identify specific features of pigment epithelium detachments with limited hyperfluorescent lesions (hot spots). DESIGN: One hundred eighty-two consecutive patients (186 eyes) who had vascularized pigment epithelium detachments and recent onset of symptoms were examined with indocyanine green and fluorescein videoangiography using the scanning laser ophthalmoscope. The choroidal neovascularization complex and macular retinal vessels were studied. The natural history and the effect of laser treatment were evaluated. RESULTS: Fifty-four eyes had hot spots on indocyanine green angiography. In 50 of these 54 eyes, the video analysis showed an anastomosis of one or more retinal vessels, with the choroidal neovascularization within the hot spot. One or two retinal veins or arteries or both filled with both dyes and were seen to enter into the hot spot. Results of indocyanine green-guided photocoagulation of the hot spot in 28 eyes were disappointing. CONCLUSION: Continuous recording of the early phases of fluorescein and indocyanine green angiography allowed identification of chorioretinal anastomoses in vascularized pigment epithelium detachments with hot spots at an early exudative stage of age-related macular degeneration in 50 (26.8%) of 186 eyes. The poor outcome of laser photocoagulation could be related not only to the development of an overlying pigment epithelium detachment, but also to the retinal and choroidal vascularization of the lesion.

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Types of choroidal neovascularisation in newly diagnosed exudative age-related macular degeneration
Cohen et al.
Br. J. Ophthalmol. 2007;91:1173-1176.
ABSTRACT | FULL TEXT  

Intravitreal triamcinolone and laser photocoagulation for retinal angiomatous proliferation
Krieglstein et al.
Br. J. Ophthalmol. 2006;90:1357-1360.
ABSTRACT | FULL TEXT  

Sequenced combined intravitreal triamcinolone and indocyanine green angiography-guided photodynamic therapy for retinal angiomatous proliferation.
Freund et al.
Arch Ophthalmol 2006;124:487-492.
ABSTRACT | FULL TEXT  

Treatment of Retinal Angiomatous Proliferation in Age-Related Macular Degeneration: A Series of 104 Cases of Retinal Angiomatous Proliferation
Bottoni et al.
Arch Ophthalmol 2005;123:1644-1650.
ABSTRACT | FULL TEXT  

Anastomotic Vessels Remain Viable after Photodynamic Therapy in Primate Models of Choroidal Neovascularization
Criswell et al.
IOVS 2005;46:2168-2174.
ABSTRACT | FULL TEXT  

Blue on yellow perimetry with scanning laser ophthalmoscopy in patients with age related macular disease
Remky and Elsner
Br. J. Ophthalmol. 2005;89:464-469.
ABSTRACT | FULL TEXT  

Choroidal Neovascularization After Central Retinal Vein Occlusion in a 47-Year-Old Man
DiLoreto et al.
Arch Ophthalmol 2004;122:1398-1401.
FULL TEXT  

Surgical Ablation of Retinal Angiomatous Proliferation
Borrillo et al.
Arch Ophthalmol 2003;121:558-561.
ABSTRACT | FULL TEXT  

Eligibility for treatment and angiographic features at the early stage of exudative age related macular degeneration
Haddad et al.
Br. J. Ophthalmol. 2002;86:663-669.
ABSTRACT | FULL TEXT  

Clinicopathological correlation of retinal pigment epithelial tears in exudative age related macular degeneration: pretear, tear, and scarred tear
Lafaut et al.
Br. J. Ophthalmol. 2001;85:454-460.
ABSTRACT | FULL TEXT  

Clinicopathological correlation of deep retinal vascular anomalous complex in age related macular degeneration
Lafaut et al.
Br. J. Ophthalmol. 2000;84:1269-1274.
ABSTRACT | FULL TEXT  

Indocyanine green guided laser photocoagulation in patients with occult choroidal neovascularisation
Weinberger et al.
Br. J. Ophthalmol. 1999;83:168-172.
ABSTRACT | FULL TEXT  

Chorioretinal Vascular Abnormalities Associated With Angioid Streaks and Pseudoxanthoma Elasticum
Secretan et al.
Arch Ophthalmol 1998;116:1333-1336.
ABSTRACT | FULL TEXT  





HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | SUBMIT | SUBSCRIBE | HELP
CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP
 
© 1995 American Medical Association. All Rights Reserved.