Indocyanine Green Dye Filling Time for Polypoidal Lesions in Polypoidal Choroidal Vasculopathy Affects the Visibility of the Lesions on OCT Angiography

Hisashi Fukuyama; Hisashi Iwami; Takashi Araki; Hiroto Ishikawa; Naohiro Ikeda; Fumi Gomi

doi:10.1016/j.oret.2017.11.016

Indocyanine Green Dye Filling Time for Polypoidal Lesions in Polypoidal Choroidal Vasculopathy Affects the Visibility of the Lesions on OCT Angiography

Ophthalmol Retina. 2018 Aug;2(8):803-807. doi: 10.1016/j.oret.2017.11.016. Epub 2018 Jan 9.

Authors

Hisashi Fukuyama¹, Hisashi Iwami¹, Takashi Araki¹, Hiroto Ishikawa¹, Naohiro Ikeda¹, Fumi Gomi²

Affiliations

¹ Department of Ophthalmology, Hyogo College of Medicine, Nishinomiya, Japan.
² Department of Ophthalmology, Hyogo College of Medicine, Nishinomiya, Japan. Electronic address: fgomi@hyo-med.ac.jp.

PMID: 31047533
DOI: 10.1016/j.oret.2017.11.016

Abstract

Purpose: To elucidate the factors that affect the visibility of polypoidal lesions on OCT angiography (OCTA) based on indocyanine green angiography (ICGA) findings in eyes with polypoidal choroidal vasculopathy (PCV).

Design: Retrospective, consecutive case series.

Participants: Thirty-one eyes of 31 patients with PCV diagnosed on ICGA.

Methods: We compared the numbers of polyps visible on ICGA and on OCTA. The following time points and durations were determined: first appearance of dye in the choroidal arteries, first appearance of dye within a polyp, and the time it took the dye to fill entire lesions. Then we compared visible and invisible polyps on OCTA in these respects.

Main outcome measures: The visibility of polypoidal lessons on OCTA and, in relation to this, the time it took the indocyanine green dye to fill the polypoidal lesions.

Results: The total number of polyps detected on ICGA was 62, and 49 of these (79.0%) were imaged on OCTA. The time points determined were not significantly different, but elapsed time from the first appearance of the dye in the choroidal arteries to the first appearance of the dye within a polyp was significantly longer for the polyps that were not detected on OCTA than for those that were (5.15±2.30 seconds vs. 2.08±1.08 seconds; P < 0.001).

Conclusions: The visibility of polyps on OCTA decreases when blood flow is slower as manifested by a longer choroid-to-polyp dye infusion time on ICGA.