PMID- 26823203 OWN - NLM STAT- MEDLINE DCOM- 20170116 LR - 20220409 IS - 1755-3768 (Electronic) IS - 1755-375X (Linking) VI - 94 IP - 6 DP - 2016 Sep TI - Indocyanine green angiographic findings in initial-onset acute Vogt-Koyanagi-Harada disease. PG - 573-8 LID - 10.1111/aos.12974 [doi] AB - PURPOSE: To study the features of Indocyanine green angiography (ICGA) in patients with initial-onset acute Vogt-Koyanagi-Harada (VKH) disease. METHODS: Retrospective cohort study of ICGA performed with the use of Heidelberg scanning laser ophthalmoscope on a consecutive series of patients with initial-onset acute VKH disease. The following signs were analysed: choroidal perfusion inhomogeneity, early hyperfluorescent stromal vessels, hypofluorescent dark dots (HDDs), fuzzy or lost pattern of large stromal choroidal vessels, disc hyperfluorescence, and, diffuse late choroidal hyperfluorescence. In addition, we looked for any new ICGA findings. RESULTS: Thirty-six patients (72 eyes) from a single academic institution were studied. The following findings were identified: HDDs in all eyes (100%), fuzzy or lost pattern of large stromal vessels in all eyes (100%), early hyperfluorescent stromal vessels were seen in 60 eyes (83%), diffuse late choroidal hyperfluorescence was present in 51 eyes (71%), choroidal perfusion inhomogeneity was seen in 44 eyes (61%), disc hyperfluorescence was seen in 25 cases (69%), and choroidal folds were present in only six eyes. New ICGA findings detected in this study were hypofluorescent patches corresponding to areas of exudative retinal detachment in 60 eyes (83%) and 'starry sky' pattern of late widespread punctate choroidal hyperfluorescence in 37 eyes (51%). CONCLUSIONS: The most prevalent ICGA findings were HDDs, fuzzy stromal vessels and early hyperfluorescent stromal vessels in patients with initial-onset acute VKH disease. Novel ICGA findings in this group of patients included hypofluorescent patches corresponding to areas of exudative retinal detachment, and late widespread punctate choroidal hyperfluorescence taking on a 'starry sky' pattern. CI - (c) 2016 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd. FAU - Abouammoh, Marwan A AU - Abouammoh MA AD - Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia. FAU - Gupta, Vishali AU - Gupta V AD - Department of Ophthalmology, Advanced Eye Center, Postgraduate Institute of Medical Education and Research, Chandigarh, India. FAU - Hemachandran, Suhail AU - Hemachandran S AD - Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia. FAU - Herbort, Carl P AU - Herbort CP AD - Inflammatory and Retinal Eye Diseases, Centre for Ophthalmic Specialized Care, Lausanne, Switzerland. AD - Department of Ophthalmology, University of Lausanne, Lausanne, Switzerland. FAU - Abu El-Asrar, Ahmed M AU - Abu El-Asrar AM AD - Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia. AD - Dr. Nasser Al-Rashid Research Chair in Ophthalmology, King Saud University, Riyadh, Saudi Arabia. LA - eng PT - Journal Article DEP - 20160129 PL - England TA - Acta Ophthalmol JT - Acta ophthalmologica JID - 101468102 RN - 0 (Coloring Agents) RN - IX6J1063HV (Indocyanine Green) SB - IM MH - Acute Disease MH - Adolescent MH - Adult MH - Child MH - Choroid/blood supply MH - Choroid Diseases/*diagnosis MH - Coloring Agents/administration & dosage MH - Female MH - *Fluorescein Angiography MH - Humans MH - Hyperemia/*diagnosis MH - Indocyanine Green/*administration & dosage MH - Male MH - Middle Aged MH - Ophthalmoscopy MH - Optic Nerve Diseases/*diagnosis MH - Retinal Detachment/*diagnosis MH - Retrospective Studies MH - Uveomeningoencephalitic Syndrome/*diagnosis MH - Visual Acuity/physiology OTO - NOTNLM OT - Vogt-Koyanagi-Harada disease OT - imaging OT - indocyanine green angiography OT - uveitis EDAT- 2016/01/30 06:00 MHDA- 2017/01/17 06:00 CRDT- 2016/01/30 06:00 PHST- 2015/11/03 00:00 [received] PHST- 2015/11/29 00:00 [accepted] PHST- 2016/01/30 06:00 [entrez] PHST- 2016/01/30 06:00 [pubmed] PHST- 2017/01/17 06:00 [medline] AID - 10.1111/aos.12974 [doi] PST - ppublish SO - Acta Ophthalmol. 2016 Sep;94(6):573-8. doi: 10.1111/aos.12974. Epub 2016 Jan 29.