Indocyanine green angiographic findings in a case of leukemic retinopathy Koichi Maruyama 1 , Yuzo Nakao 1 , Chota Matsumoto 1 , Mitsuo Kubota 1 , Toshifumi Otori 1 1Dept of Ophthalmol, Kinki Univ Sch of Med pp.1603-1608
Published Date 1996/9/15
DOI https://doi.org/10.11477/mf.1410905046
  • Abstract
  • Look Inside

A 22-year-old male with chronic myelogenous leukemia manifested, bilaterally, papilledma,engorgement and tortuousity of retinal veins, and retinal hemorrhages associated with white patches (Roth's spots). Fluorescein angiography showed dye staining of the optic disc and hyperfluorescent patches in the peripheral fundus. Indocyanine green (ICG) angiography showed, during the early phase, hyperfluorescent dots in the peripheral fundus and hypofluorescent patches corresponding to areas of damaged retinal pigment epithelium. Late-phase ICG angiography showed small round hypofluorescent patches in areas which appeared normal by funduscopy of fluorescein angiography. After improvement in fundus findings due to treatment, ICG angiography showed decrease in the size of hypofluorescent patches, decreased number of hyperfluorescent dots and disappearance of small round hypofluorescent patches. The observed ICG angio-graphic features seemed to reflect pathological changes in the choroid induced by infiltrated leukemic cells.

Copyright © 1996, Igaku-Shoin Ltd. All rights reserved.


電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院