眼科 ›› 2025, Vol. 34 ›› Issue (6): 419-423.doi: 10.1328 1/i.cnki.issn.1004-4469.2025.06.002

• 专家讲座 • 上一篇    下一篇

眼底吲哚青绿血管造影的运用和解读

黄厚斌   

  1. 中国人民解放军总医院眼科医学部,北京100853;中国人民解放军总医院海南医院眼科,海南三亚 572013
  • 收稿日期:2025-07-14 出版日期:2025-11-25 发布日期:2025-11-15
  • 基金资助:
    海南省重点研发计划高新技术项目(ZDYF2024GXJS032);军队后勤科研项目保健专项课题(23BJZ37);海南省卫生健康行业科研项目(22A200351)

Applications and interpretations of indocyanine green angiography

Huang Houbin   

  1. Department of Ophthalmology, PLA General Hospital, Beijing 100853, China; Department of Ophthalmology, Hainan Hospital of PLA General Hospital, Sanya Hainan 572013, China
  • Received:2025-07-14 Online:2025-11-25 Published:2025-11-15
  • Supported by:
     High and New Technology Project of Hainan Key Research and Development Plan (ZDYF2024GXJS032); Health Care Special Project of PLA Logistics Research Fund (23BJZ37); Scientific Research Project of Health Industry in Hainan Province (22A200351)

摘要: 眼底吲哚青绿血管造影(indocyanine green angiography,ICGA)的解读本就难度很大,特别是对于绝大部分医生来说,先接触荧光素眼底血管造影(fundus fluorescein angiography,FFA),很容易以FFA的思维去阅读ICGA,这可能会造成不正确理解和误判。随着高分辨率OCTA的广泛应用,ICGA更是越来越不受重视,甚至认为ICGA和FFA可以被OCTA取代。本文分析了产生这一认识误区的可能原因,并重点对ICGA临床应用的价值进行了深入探讨,特别指出ICGA对脉络膜循环的显示、对视网膜色素上皮功能的评估、对Bruch膜病变的显示是其他多模影像检查所不能取代的。要广泛开展ICGA,高度重视ICGA的应用和解读。

关键词: 眼底吲哚青绿血管造影, 视网膜色素上皮, 多模影像

Abstract:  It’s difficult to interpret the images of indocyanine green angiography (ICGA). For most ophthalmologists, they have been familiar with fundus fluorescein angiography (FFA) prior to ICGA. It’s reasonable for them to interpret ICGA with the same philosophy with FFA, whereas which would result to misunderstanding and misjudging. With the development of high-resolution optical coherence tomographic angiography, attention is less and less paid on ICGA. And the conception is up and up that FFA and ICGA can be replaced by OCTA and even be abandoned. This article analyzes the reasons which cause such misunderstandings and explores in depth the clinical values of ICGA, focusing on the irreplaceability of ICGA in demonstrating the choroidal circulation, evaluating the function of retinal pigment epithelium, illuminating the Bruch’s lesions rather than other multi-model imaging methods. It’s critical to widely apply ICGA and grasp its’ interpretations.

Key words: indocyanine green angiography, retinal pigment epithelium, multi-model imaging