RESUMO
PURPOSE: To determine whether there are angiographic differences among normal, preperimetric and advanced glaucoma eyes using indocyanine green angiography with SLO. This method was chosen because of its sensibility to detect peripapillary capillary vessels. METHODS: Scanning laser opthalmoscopy was preformed on normal eyes, preperimetric glaucomas and advanced glaucomas. MATERIAL: The authors used a confocal SLO (Heidelberg Retina Angiograph-HRA) CONCLUSION: Several changes may be seen on peripapillary capillary vessels at the different glaucomatous stages. DISCUSSION: In normal subjects HRT shows preservation of the disc/cup area ratio; indocyanine green angiography shows normal prepapillary plexus pattern on the neuroretinal rim and cup. Subjects on glaucomatous preperimetric stage reveal a decrease in the disc/cup area ratio as a result of an increase of the cup area secondary to a reduction of the neuroretinal rim area. ICG at this hipertensive stage shows an increase in prepapillary plexus visualization, which may be a consequence of increased blood flow while autoregulation is still operative. Subjects with advanced glaucoma show prominent decrease in the disc/cup area ratio as well as marked capillary droupout in ICG angiography.
Assuntos
Corantes , Angiofluoresceinografia/métodos , Glaucoma/fisiopatologia , Verde de Indocianina , Oftalmoscopia/métodos , Disco Óptico/irrigação sanguínea , Humanos , Pressão Intraocular , Lasers , Hipertensão Ocular/fisiopatologiaRESUMO
PURPOSE: To describe the angiographic signs found using scanning laser ophthalmoscopy for the early diagnosis of vitreoretinal interface syndrome. This method is useful to visualize the inner retinal layers, being more sensitive than fundus biomicroscopy. MATERIAL: 61 patients with vitreoretinal interfase syndrome were evaluated. All of them had evidence of this disease using scanning laser ophthalmoscopy but four patients were referred without diagnosis of vitreoretinal interfase syndrome. These patients showed no biomicroscopic signs and diagnosis was made with SLO. METHODS: Confocal scanning infrared laser ophthalmoscope (Heidelberg Retinal Angiograph assembled by Heidelberg Engineering). This SLO uses an infrared diode laser source of 795 nm. CONCLUSION: Patients included were referred with another diagnosis and with this method the correct diagnosis was made. In conclusion scanning laser ophthalmoscopy allows early diagnosis of this pathology for follow-up and treatment.