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    The Role of Dynamic (Video) Angiography in Diagnosis of Retinal Vascular Diseases

    AAO 2023 Video Program
    Diagnostic & Imaging , Retina/Vitreous

    Purpose: This video discusses the utility of dynamic (video) angiography, specifically fundus fluorescein angiography (FFA) and indocyanine green angiography (ICG-A), in the diagnosis of retinal vascular diseases such as polypoidal choroidal vasculopathy (PCV). Methods: Still images and dynamic FFA and ICG-A were obtained from patients seen in our clinic for various retinal conditions, such as diabetic retinopathy, PCV and choroidal neovascularization. Characteristic features of each condition were noted and assessed on still and dynamic angiography. Results: Dynamic FFA features of proliferative diabetic retinopathy were shown, and the characteristic features of leakage and capillary fallout were demonstrated. Dynamic ICG-A was also used to show the filling of branching vascular network and pulsation of polyps. These features are not well appreciated on a still image. Conclusion: Dynamic angiography gives the clinician a sequential view of the circulatory phase of the retinal vasculature and is therefore useful in the diagnosis of retinal vascular diseases.