PMID- 32839556 OWN - NLM STAT- MEDLINE DCOM- 20210630 LR - 20220716 IS - 1476-5454 (Electronic) IS - 0950-222X (Print) IS - 0950-222X (Linking) VI - 35 IP - 6 DP - 2021 Jun TI - Indocyanine green angiographic findings in presumed intraocular tuberculosis. PG - 1680-1687 LID - 10.1038/s41433-020-01144-y [doi] AB - PURPOSE: To study features of Indocyanine green angiography (ICGA) in patients with presumed intraocular tuberculosis. METHODS: Retrospective study of 48 consecutive patients (77 eyes) who underwent ICGA. The following signs were analysed: choroidal perfusion inhomogeneity, early hyperfluorescent stromal vessels, round or oval hypofluorescent dark dots (HDDs), hypofluorescent geographic lesions (HGLs), fuzzy or lost pattern of large stromal choroidal vessels, disc hyperfluorescence and diffuse late choroidal hyperfluorescence. RESULTS: Among 44 eyes of 29 patients with no clinical evidence of choroidal involvement, only 7 eyes of 6 patients had no ICGA evidence of choroidal involvement. On the other hand, ICGA findings suggesting choroidal involvement were noted in 37 (84.1%) eyes of 23 patients in the form of HDDs in all 37 (100%) eyes, HGLs in 7 (18.9%) eyes, disc hyperfluorescence in 20 (45.5%) eyes, fuzzy stromal vessels in 17 (38.6%) eyes, early hyperfluorescent stromal vessels in 13 (29.5%) eyes, late pinpoint hyperfluorescence in 11 (25%) eyes and late diffuse choroidal hyperfluorescence in 7 (15.9%) eyes. Among 33 eyes of 19 patients with clinically evident choroidal involvement, the following findings were identified; HDDs in 12 (36.4%) eyes, HGLs in 10 (30.3%) eyes, both HDDs and HGLs in 9 (27.3%) eyes, disc hyperfluorescence in 11 (33.3%) eyes, early hyperfluorescent stromal vessels in 7 (21.2%) eyes, fuzzy stromal vessels in 6 (18.2%) eyes and late diffuse choroidal hyperfluorescence was present in 2 (6.1%) eyes. CONCLUSIONS: ICGA is necessary in identifying and diagnosing subclinical tuberculous choroidal involvement. The most prevalent ICGA finding was persistent HDDs. FAU - Abouammoh, Marwan A AU - Abouammoh MA AD - Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia. FAU - De Simone, Luca AU - De Simone L AD - Ocular Immunology Unit, Azienda USL-IRCCS, Reggio Emilia, Italy. FAU - Almousa, Abdullah N AU - Almousa AN AD - Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia. FAU - Al-Dossari, Mona AU - Al-Dossari M AD - Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia. FAU - Herbort, Carl P AU - Herbort CP AD - Retinal and Inflammatory Eye Diseases, Centre for Ophthalmic Specialized Care (COS), Clinic Montchoisi Teaching Centre, and 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. abuelasrar@yahoo.com. AD - Dr. Nasser Al-Rashid Research Chair in Ophthalmology, King Saud University, Riyadh, Saudi Arabia. abuelasrar@yahoo.com. LA - eng PT - Journal Article DEP - 20200824 PL - England TA - Eye (Lond) JT - Eye (London, England) JID - 8703986 RN - 0 (Coloring Agents) RN - IX6J1063HV (Indocyanine Green) SB - IM MH - Choroid MH - Coloring Agents MH - Fluorescein Angiography MH - Humans MH - *Indocyanine Green MH - Retrospective Studies MH - *Tuberculosis PMC - PMC8169866 COIS- The authors declare that they have no conflict of interest. EDAT- 2020/08/26 06:00 MHDA- 2021/07/01 06:00 PMCR- 2022/06/01 CRDT- 2020/08/26 06:00 PHST- 2020/03/28 00:00 [received] PHST- 2020/08/12 00:00 [accepted] PHST- 2020/07/14 00:00 [revised] PHST- 2020/08/26 06:00 [pubmed] PHST- 2021/07/01 06:00 [medline] PHST- 2020/08/26 06:00 [entrez] PHST- 2022/06/01 00:00 [pmc-release] AID - 10.1038/s41433-020-01144-y [pii] AID - 1144 [pii] AID - 10.1038/s41433-020-01144-y [doi] PST - ppublish SO - Eye (Lond). 2021 Jun;35(6):1680-1687. doi: 10.1038/s41433-020-01144-y. Epub 2020 Aug 24.