Purpose: This study was performed to define the indocyanine green angi
ographic features of angioid streaks and associated posterior pole les
ions and to compare them with fluorescein angiography, Methods: Digita
l fluorescein and indocyanine green videoangiography was performed on
16 eyes of 8 patients with angioid streaks. Results: Streaks were hype
rfluorescent in 15, hypo- and hyperfluorescent in 1 of the 16 eyes wit
h fluorescein angiography, Indocyanine green angiography showed hyperf
luorescent streaks in 10 and hypofluorescent streaks in 6 eyes, Of the
hyperfluorescent streaks, 6 had a hypofluorescent line between fluore
scent edges and 3 were made up of numerous hyperfluorescent spots, Pea
u d'orange appearance was more evident in indocyanine green angiograph
y as dark, round spots throughout the posterior pole, Fluorescein angi
ography confirmed the presence of well-defined choroidal neovasculariz
ation in 5 eyes. In one eye, occult choroidal neovascularization which
was not evident on fluorescein angiography, became well-demarcated on
indocyanine green angiography. Conclusion: Indocyanine green angiogra
phic features of angioid streaks are different from fluorescein angiog
raphy. Angioid streaks and peau d'orange are more evident with indocya
nine green angiography.