Hyperfluorescent plaque lesions in the late phases of indocyanine green angiography: a possible contraindication to the laser treatment of drusen.
OBJECTIVE
To highlight the possible role of indocyanine green angiography in predicting future exudative changes in eyes that are candidates for drusen laser treatment.


METHODS
In a 56-year-old woman, fluorescein and indocyanine green angiography were performed before drusen laser treatment.


RESULTS
The treated eye had a suspicious lesion at baseline indocyanine green angiography and a nonsuspicious fluoroangiographic pattern. Seven months after treatment, the patient developed choroidal neovascularization and pigment epithelial detachment in the treated eye.


CONCLUSIONS
To decrease the risk of macular exudative changes that may be related to laser treatment, eyes that are candidates for drusen laser treatment should be examined before treatment, not only by fluorescein angiography, but also by indocyanine green angiography.
Brancato
R
R
Department of Ophthalmology and Visual Sciences, Scientific Institute H San Raffaele, University of Milan, Italy. r.brancato@ophthalm.hsr.it
Trabucchi
G
G
Introini
U
U
Avanza
P
P
D000792:Angiography; D002829:Choroid / Q000098:blood supply; D000075202:Contraindications; D005260:Female; D005451:Fluorescein Angiography; D005453:Fluorescence; D006801:Humans; D007208:Indocyanine Green; D053685:Laser Therapy; D008875:Middle Aged; D009389:Neovascularization, Pathologic / Q000209:etiology; D010857:Pigment Epithelium of Eye; D011183:Postoperative Complications; D012163:Retinal Detachment / Q000209:etiology; D015593:Retinal Drusen / Q000175:diagnosis* / Q000601:surgery*
D007208:Indocyanine Green