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Indocyanine green angiographic interpretation of reticular dystrophy of the retinal pigment epithelium complicated by choroidal neovascularization
Author(s) -
Zeldovich Alina,
Beaumont Paul,
Chang Andrew,
Kang Kwon
Publication year - 2002
Publication title -
clinical and experimental ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.3
H-Index - 74
eISSN - 1442-9071
pISSN - 1442-6404
DOI - 10.1046/j.1442-9071.2002.00564.x
Subject(s) - retinal pigment epithelium , medicine , fluorescein angiography , indocyanine green , reticular connective tissue , ophthalmology , choroidal neovascularization , retinal , pathology , anatomy
A 37‐year‐old woman presented with flashes in her left eye and bilateral visual distortion. Fundal examination revealed a reticular ‘fishnet’ pattern of retinal pigmentation in both eyes consistent with reticular dystrophy of the retinal pigment epithelium. In the left eye there was a small haemorrhage and a shallow serous macular detachment. Fluorescein angiography demonstrated subfoveal choroidal neovascularization. Indocyanine green angiography (ICG) revealed more extensive involvement than fluorescein angiography, with small areas of intense hyperfluorescence amongst reticular areas of hypofluorescence. These changes, as interpreted in light of the known histopathological localization of ICG, are consistent with varying stages of dysfunction of the retinal pigment epithelium in this disease.