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目的：用吲哚青绿血管造影（ｉｎｄｏｃｙａｎｉｎｅｇｒｅｅｎａｎｇｉｏｇｒａｐｈｙ，ＩＣＧＡ）观察老年黄斑变性（ａｇｅ－ｒｅｌａｔｅｄｍａｃｕｌａｒｄｅ－ｇｅｎｅｒａｔｉｏｎ，ＡＭＤ）黄斑出血掩盖的脉络膜新生血管（ｃｈｏｒｏｉｄａｌｎｅｏｖａｓｃｕｌａｒｉｚａｔｉｏｎ，ＣＮＶ）。方法：对２２例２４只眼ＡＭＤ黄斑出血患者作眼底彩色照相、眼底荧光血管造影（ｆｕｎｄｕｓｆｌｕｏｒｅｓｃｅｉｎａｎｇｉｏｇｒａｐｈｙＦＦＡ）及ＩＣＧＡ检查，并对两种不同的眼底血管造影图像进行比较和分析。结果：ＩＣＧＡ检查在本组ＡＭＤ黄斑出血病例显示了ＣＮＶ的如下特点：①ＩＣＧＡ发现了ＦＦＡ未能发现的ＣＮＶ；②ＩＣＧＡ较准确地判断了ＣＮＶ的位置；③ＩＣＧＡ发现ＣＮＶ的数量比ＦＦＡ多，更全面地显示ＣＮＶ；④ＩＣＧＡ较准确地显示了ＣＮＶ的范围大小。结论：ＩＣＧＡ能较全面、准确地揭示ＡＭＤ黄斑出血所掩盖的ＣＮＶ，并能扩大适于激光光凝的ＣＮＶ范围及提高激光光凝的成功率。
OBJECTIVE: To observe choroidal neovascularization (CNV) occluded by age-related macular degeneration (AMD) with macular hemorrhage by indocyanine greenangiography (ICGA). Methods: Twenty-four patients with AMD macular hemorrhage underwent fundus color fundus fundus fluorescein angiography (FFA) and ICGA examination. Two different fundus angiography images were compared and analyzed. Results: ICGA examination revealed the following features of CNV in this group of patients with AMD: ① ICGA found CNV failed to be found in FFA; ②ICGA more accurately judged the location of CNV; ③ICGA found more CNV than FFA, more comprehensively Shows CNV; ④ICGA more accurately shows the range of CNV size. CONCLUSION: ICGA can reveal the CNV concealed by AMD with macular hemorrhage more completely and accurately, and can expand the range of CNV suitable for laser photocoagulation and improve the success rate of laser photocoagulation.