Diagnosis and therapeutic orientation
L’angiographie rétinienne est un examen dynamique de diagnostic permettant de visualiser le système vasculaire de la rétine et de détecter des anomalies qui ne sont pas toujours visibles avec d’autres méthodes d’imagerie du fond d’œil.
Performed using a fluorescent contrast product (colour) injected into the patient’s blood circulation, it is therefore seen as invasive and requires a convenient equipment to perform the injection and the resuscitation in case of allergic reaction.
L’angiographie trouve son utilité pour le diagnostic et le suivi de pathologies vasculaires telles que la rétinopathie diabétique, la AMD, les uvéites postérieures…
Depending on the depth of the tissue to examine and on the pathology, two different contrast products can be used. So they define two types of angiography, the fluorescein one (FA) and the indocyanine green one (ICG).
Current angiographs, often equippedwith a confocal SLO laser system.The current angiographs, often equipped with an SLO confocal system, able to precisely focus on retina, make possible performing the fluorescein angiography only, the indocyanine green angiography only or sometimes both angiographies at the same time.
Our angiography solutions
The injection angiography is the only examination making possible viewing fundus vascularisation in a dynamic way. It is then possible to analyse early, intermediate and late phases of retinal and choroidal blood circulations.
Angiography is often performed using an SLO angiograph, as this equipment can make a precise focus on retina. The purpose is detecting vascularisation anomalies, such as:
- Diabetic retinopathy
- Vascular occlusions and tumours, etc.
The examination is performed using a contrast product injected into the patient’s blood circulation.
During the examination, the angiograph illuminates the fundus with a specific wavelength to stimulate the colour to make it visible. Angiography images then only show the colour circulation into the vascular system, thus matching the blood behaviour into the vessels.
We use angiography to make a precise diagnosis, to propose an adapted treatment and to follow-up the evolution of the patient’s pathology through a control. When a complete analysis of the structure/function of the retina is required, the angiography is always used in addition to the OCT.
This imaging technique is different from the OCT-Angiography, which is non invasive, as it derives from the OCT (scanner of the retina). This last technique remains static and for the moment its acquisition field is limited.
Pathologies that can be detected using an angiograph
Image courtesy: Dr Djaborouti (Puilboreau, France), hospital Luigi Sacco (University of Milan, Italy), hospital Lariboisière (Paris, France).
The different types of angiography
Benefits of angiography
The angiography is the only technique realising a dynamic observation of fundus vascularisation. Depending on the lens used, the analysis zone can be extended to make possible detecting some early vascular anomalies.
Dynamic analysis of retinal and choroidal vascularisation
Visualisation du fond d’œil jusqu’à l’extrême périphérie grâce au grand champ
The vascular analysis completes the structural analysis performed using fundus photography and the OCT to confirm and refine the diagnosis.
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