Background The simultaneous recording of indocyanine green and fluores
cein angiography is since more than twenty years possible. The real-ti
me digital recording of angiograms is about since 10 years possible. B
ecause of the poor temporal resolution due to technical limitations, b
oth of the above methods were only seldom used routinely. Graphics wor
kstations can digitize and store multiple video sources real-time with
full video framerate. Comparing to conventional videoangiography, the
quality can be improved significantly. Materials and Methods Simultan
eous ICG and Fluorescein (SIF) angiography images of a two-channel Sca
nning Laser Ophthalmoscope were digitized and stored real-time at a ra
te of 28-50 images/sec using a graphics workstation. The digitized ima
ge sequence could be replayed as a motion picture and/or single images
of the recorded sequence could be analyzed separately. Results The si
multaneous digital recording of angiograms is easier, than using two v
ideo tape recorders. It was possible to enhance the quality of the sto
red images using standard digital image processing procedures. Morphol
ogical measurements and densitometry were done with software developed
for the UNIX workstation, or with personal computers using standard s
oftware packages. Conclusion Simultaneous digital ICG and fluorescein
angiography has several advantages over conventional video-angiographi
es: the image quality is better, data retrieval is easier, it is easie
r to perform than-conventional video angiography, images can be access
ed trough a computer network, it is easy to perform morphological and
densitometric al measurements, etc.