Compartilhar

Indocianina verde em tumores da coroide

Indocianina verde em tumores da coroide

Autores:

Arnaldo Cialdini,
Marcos Ávila

ARTIGO ORIGINAL

Arquivos Brasileiros de Oftalmologia

versão impressa ISSN 0004-2749versão On-line ISSN 1678-2925

Arq. Bras. Oftalmol. vol.61 no.2 São Paulo abr. 1998

http://dx.doi.org/10.5935/0004-2749.19980081

SUMMARY

The authors report the findings of digital indocyanine green videoangiography in the differential diagnosis of choroidal tumors. There were 13 cases: 3 hemangiomas, 4 osteomas, 3 metastatic carcinomas and 3 malignant melanomas. Proper and steady angiographic characteristics were recognised, allowing to identify and differentiate hemangioma, osteoma and metastatic carcinoma among them and from pigmented tumors, including malignant melanoma. However, such indocyanine green angiography findings alone, show no unequivocal diagnostic significance in pigmented choroidal tumors. Based on these observations, the authors conclude that the indocyanine green choroidal angiography in choroidal tumors, gives to this new examination technique, a limited diagnostic usefulness in the context of the differential diagnosis of choroidal tumors.

Key words: Indocyanine green; Choroidal tumors; Choroidal hemangioma; Choroidal osteoma; Choroidal metastatic carcinoma; Choroidal malignant melanoma

REFERÊNCIAS

1 Freund KB, Yannuzzi LA, Sorenson JA. Age-related macular degeneration and choroidal neovascularization. Am J Ophthalmol 1993;115:786-91.
2 Bischoff PM, Flower RW. Ten years experience with choroidal angiography using indocyanine green dye: a new routine examination or an epilogue? Doc Ophthalmol 1985;60:235-91.
3 Cialdini AP, Ávila MP, Khadem J, Nehemy MB. Indocyanine green angiography in the detection of persistent subretinal neovascular membranes after laser treatment. Investigative Ophthalmology & Visual Science 1997;38(4, part 1):1577.
4 Spaide RF, Yannuzzi LA, Slakter JS, Sorenson JA, Orlock DA. Indocyanine green videoangiography of idiopathic polypoidal choroidal vasculopathy. Retina 1995;15:100-10.
5 Le D, Glaser BM, Murphy RP, Gordon LW, Sjaarda RN, Thompson JT. Indocyanine green angiography in multiple evanescent white-dot syndrome. Am J Ophthalmol 1994;117:7-12.
6 Park D, Schatz H, McDonald HR, Johnson RN. Indocyanine green angiography of acute multifocal posterior placoid pigment epiteliopathy. Ophthalmology 1995;102:1877-83.
7 Nishide NN, Mitre J. Coroidite serpiginosa documentada com indocianina verde. Arq Bras Oftal 1996;59(5):525-8.
8 Wroblewski JJ, Gitter KA, Cohen G, Schomaker K. Indocyanine green angiography in Stargardt's Flavimaculatus. Am J Ophthalmol 1995;120:208-18.
9 Scheider A, Nasemann JE, Lund OE. Fluorescein and indocyanine green angiographies of central serous choroidopathy by scanning laser ophthalmoscopy. Am J Ophthalmol 1993;115:50-6.
10 Quaranta M, Cohen SY, Krott R, Sterkers M, Soubrane G, Coscas GJ. Indocyanine green videoangiography of angioid streaks. Am J Ophthalmol 1995;119:136-42.
11 Patz A, Flower RW, Klein ML, Orth DH, Fleischman JA, Mcleods S. Clinical application of indocyanine green angiography. Docum Ophthal Proc Ser 1976;9:245-51.
12 Chopdar A, Turk AM, Hill DW. Fluorescent infra-red angiography of the fundus oculi using indocyanine green dye. Trans Ophthal Soc UK 1978;98:142-6.
13 Bacin F, Buffet JM, Mutel N. Angiographie par absorption, en infrarouge, au vert indocyanine. Aspects chez le sujet normal et dans les tumeurs choroidiennes. Bull Soc Opthal Fr 1981;81:315-9.
14 Piccolino FC, Borgia L, Zinicola E. Indocyanine green angiography of circumscribed choroidal hemangiomas. Retina 1996; 16:19-28.
15 Gass JDM. Stereoscopic atlas of macular diseases. Diagnostic and treatment 3ª ed. St. Louis: CV Mosby 1987;1:172.
16 Abujamra S, Pimentel SLG, Guimarães C. Osteoma de coróide: descrição de 2 casos. Arq Bras Oftal 1995;58(5):325-8.
17 Ryan SJ. Retina Tumors 1ª ed. St. Louis: CV Mosby company 1989;1:739.
18 Reichel E, Puliafito CA. Atlas Of Indocyanine Green Angiography. Igaku-Shoin Medical Publishers, Inc 1996; Chapter V:72-83.
19 Chong L. Ocular applications of diode laser. Simpósio Internacional de Retina e Vítreo - Goiânia 1995 (comunicação pessoal).