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. 2007 Jan 10;91(7):939–944. doi: 10.1136/bjo.2006.108746

graphic file with name bj108746.f4.jpg

Figure 4 Case 3. Fundus photograph, optical coherence tomography (OCT), and autofluorescence and indocyanine green (ICG) fluorescence images of a patient who underwent vitrectomy for a macular hole (MH) with ICG‐assisted internal limiting membrane (ILM) peeling at 1 month (top), 3 months (middle) and 6 months (bottom), postoperatively. (Top left) Fundus photograph shows MH closure after vitrectomy. (Top centre) Autofluorescence image shows faint foveal hyperfluorescence. (Top right) ICG hyperfluorescence is distributed diffusely at the posterior retina and there is hypofluorescence around the fovea (white arrowheads). Hyperfluorescent spots corresponding to the MH are also observed (white arrow), although the signal is not intense. (Middle left and centre) After 3 months, fundus photograph and OCT image show MH closure and autofluorescence image is unchanged. (Middle right) ICG hyperfluorescence migrates towards the optic nerve disc presumably along the nerve fibre layer (black arrows). The area of ILM peeling during surgery is clearly identified (black arrowheads). Dot hyperfluorescence along the artery near the optic nerve disc is present (white arrow). (Bottom left and centre) After 6 months, fundus photograph, OCT and autofluorescence image are unchanged. (Bottom right) Dot ICG hyperfluorescence is diffusely observed at the posterior retina resembling a stardust pattern. Most of the dot fluorescence is along the artery (black arrows). The area of ILM peeling is still identified clearly (black arrowheads).