Purpose: To present the indocyanine green angiographic features of angioid streaks.
Methods: The angiographic findings of five typical cases, three cases of idiopathic angioid streaks and two pseudoxanthoma elasticum patients, are reported.
Results: In most cases angioid streaks are hyperfluorescent in the late venous and late phase of the indocyanine green angiogram. Within areas of chorioretinal atrophy they are not visualized. The 'peau d'orange' appearance is much better visualized by indocyanine green angiography than by fluorescein angiography. Indocyanine green angiography further characterizes choroidal neovascularization, which is the major complication of angioid streaks.
Conclusion: Indocyanine green angiography contributes to the visualization of alterations in Bruch's membrane such as angioid streaks and the 'peau d'orange' appearance.