Laser photocoagulation of indocyanine green angiographically identified feeder vessels to idiopathic polypoidal choroidal vasculopathy.

Abstract

PURPOSE:

To evaluate the efficacy of laser photocoagulation of indocyanine green angiographically identified feeder vessels to idiopathic polypoidal choroidal vasculopathic lesions.

DESIGN:

Interventional case series.

METHODS:

Fifteen eyes of 14 consecutive patients with idiopathic polypoidal choroidal vasculopathy lesions treated by laser photocoagulation of indocyanine green angiographically identified feeder vessels were investigated.

RESULTS:

In 10 of the 15 eyes, serous retinal detachment of sensory retina in the macula disappeared after photocoagulation of the feeder vessels. The best-corrected visual acuity improved by 2 or more lines in eight of the 15 eyes and worsened in two eyes during the mean follow-up period of 13.6 months.

CONCLUSIONS:

Laser photocoagulation targeted exclusively to the feeder vessels supplying the idiopathic polypoidal choroidal vasculopathy lesions is a safe and effective method and can improve vision in eyes in which a serous retinal detachment is present in the macula. Indocyanine green angiography-guided laser photocoagulation should be considered as an optional treatment for idiopathic polypoidal choroidal vasculopathy.

• Authors: Kazuaki Nishijima, Masayo Takahashi, Joh Akita, Hideto Katsuta, Mai Tanemura, Hiroko Aikawa, Michiko Mandai, Hitoshi Takagi, Junichi Kiryu, Yoshihito Honda
• Journal: American journal of ophthalmology (Am J Ophthalmol) Vol. 137 Issue 4 Pg. 770-3 (Apr 2004) ISSN: 0002-9394 [Print] United States
• PMID: 15059729 (Publication Type: Journal Article)

Chemical References

• Coloring Agents
• Indocyanine Green

Topics

• Aged
• Aged, 80 and over
• Choroid (blood supply)
• Choroid Diseases (diagnosis, surgery)
• Coloring Agents
• Female
• Fluorescein Angiography
• Humans
• Indocyanine Green
• Laser Coagulation
• Male
• Middle Aged
• Peripheral Vascular Diseases (diagnosis, surgery)
• Visual Acuity