The Evaluation and Follow-up of Retinal Angiomatous Proliferation by Optical Coherence Tomography with Simultaneous Fluorescein Angiography and Indocyanine Green Angiography
著者
福井, 勝彦
(Fukui, Katsuhiko)
Hanada, K
Igarashi, H
Yoshida, A
上位タイトル
The Journal of ophthalmic photography
Vol.29,
No.2
(2007.
9)
,p.114-
119
識別番号
ISSN
0198-6155
抄録
Retinal angiomatous proliferation (RAP) is an intraretinal change resulting from retinal neovascularization. In advanced cases of RAP, retinal anastomosis occurs forming choroidal neovascularization (CNV), and differentiation from exudative age-related macular degeneration (AMD) becomes difficult. Treatment strategies differ between RAP and exudative AMD. We evaluated the combined use of optical coherence tomography (OCT) and simultaneous fundus fluorescein angiography (FFA) and indocyanine green angiography (ICG) in patients with RAP. In the early stages of the disease, the OCT was superior for determining the location of RAP lesions, follow-up evaluation of intraretinal edema during progression, and post-treatment evaluation after photocoagulation. In the advanced stage, OCT imaging was obscured by severe fibroplasia, and hemorrhage. In the late stages, simultaneous FFA and ICG helped with evaluation. Because some cases of RAP may progress into the advanced stage in a short period, combined findings from both OCT and simultaneous FFA and ICG are useful in providing a guide for the appropriate treatment.
注記
Ophthalmic Photographer's Society, Kastuhiko Fukui, Kazuomi Hanada, Hiromasa Igarashi, Akitoshi Yoshida, The Journal of ophthalmic photography, 29(2), 2007, 114-119
