PURPOSE: To report the indocyanine green angiography findings in a cas
e of acute idiopathic blind spot enlargement syndrome. METHOD: The pat
ient underwent ophthalmologic examination with fluorescein angiography
and indocyanine green angiography, RESULTS: A monocular enlarged blin
d spot was found on automated perimetry; fluorescein angiography showe
d a hypofluorescent peripapillary atrophic area and indocyanine green
angiography highlighted diffuse, small hypofluorescent spots scattered
throughout the posterior pole. Visual field defects and indocyanine g
reen angiography abnormalities resolved over 4 weeks. CONCLUSION: Indo
cyanine green angiography in acute idiopathic blind spot enlargement s
yndrome showed many lesions not visible with fluorescein angiography,
indicating a choroidal involvement reaching not only the peripapillary
area but the entire posterior pole. (Am J Ophthalmol 1998; 126:604-60
7. (C) 1998 by Elsevier Science Inc. All rights reserved.).