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The equipment
Equipment

Retinal angiography

The reference test for the blood vessels of the retina

Photographs of the back of the eye after injection of a fluorescent dye, to show precisely the condition of the retinal blood vessels — at the practice, during a dedicated consultation, by Dr Srour and Dr Chetrit.

≈ 10 min
with fluorescein (30 min with indocyanine)
Painless
a simple venous line, like a blood test
At the practice
dedicated consultation, no hospital stay
The Spectralis OCT angiography system (Heidelberg Engineering) at Grand Paris Ophtalmologie
The Spectralis (Heidelberg Engineering), the practice's angiography device

Retinal angiography: the essentials in 30 seconds

  • Photographs the circulation of the retina using a fluorescent dye injected into a vein in the arm.
  • Essential in some forms of AMD, in diabetic retinopathy and in retinal vein occlusions.
  • Your skin and urine may be coloured for a few hours: this is an expected and harmless effect. Tell us before the test about any known allergy.
  • Performed at the practice; OCT angiography, which needs no injection, replaces it in many cases.
1

What is retinal angiography?

Thanks to advances in OCT and OCT angiography (no injection), angiography is now prescribed in a more targeted way — but it remains indispensable in certain situations: it alone shows the dynamics of circulation (leakage, non-perfused areas) across the whole retina.

The test consists of taking photographs of the back of the eye after injecting a fluorescent dye — fluorescein or indocyanine green — into a vein in the arm. As it circulates through the eye, the dye reveals the condition of the blood vessels of the retina and the choroid (the layer of blood vessels behind the retina): leakage, occlusions, poorly perfused areas, abnormal vessels.

It complements OCT angiography (no injection) when a dynamic or deep analysis is needed, and is used for the diagnosis, monitoring and follow-up of retinal conditions treated with anti-VEGF injections (intravitreal injections, IVT).

2

When is it indicated?

To look for and characterise the new vessels of the wet form, and to guide and monitor injections.
To assess the degree of retinal ischaemia and guide photocoagulation with the Argon laser.
Vascular occlusions
Retinal vein thrombosis or arterial occlusion: locating the blockage and its consequences.
Inflammation & lesions
Posterior uveitis, vasculitis, and analysis of an atypical choroidal naevus or a vascular tumour.
3

What happens during the examination?

Before
A medical questionnaire checks your history (allergies, treatments, heart or kidney problems) — bring your medical file. Your pupils are dilated with drops: come accompanied, as you will not be able to drive for 2 to 3 hours. You do not need to fast.
During
A venous line is placed in the arm (as for a blood test), then the dye is injected. Seated in front of the device, a series of photographs of the back of the eye is taken — the flash is briefly dazzling. Allow 10 minutes with fluorescein, up to 30 with indocyanine. Intravenous line being placed in the arm for the dye injection
After
You can leave straight away. Your skin and urine may be coloured yellow for about 24 hours, while the dye is naturally eliminated. A feeling of warmth or slight nausea after the injection is possible, brief and harmless.
Results
The images are interpreted by your ophthalmologist, who explains the results and adapts your care: monitoring, laser or injections — which can be carried out on site.
Fluorescein angiography image: inferior temporal branch retinal vein occlusion, with leakage and poorly perfused areas in the affected territory
What the image shows: a fluorescein angiogram revealing an inferior temporal branch retinal vein occlusion. The dye traces the course of each vessel from the optic disc; in the territory of the occluded branch (at the bottom of the image), it highlights leakage and poorly perfused areas, invisible on a simple fundus examination — this is what guides treatment (laser or injections).

Precautions & side effects: what you need to know

Angiography is a very well tolerated test, preceded by a medical questionnaire: tell us about your allergies (in particular to dyes or iodine), your history and your current treatments — premedication may be offered if necessary.

Minor, temporary effects
With fluorescein: yellow colouring of the skin and urine for 24 to 48 hours (while the dye is eliminated), and occasionally brief nausea at the time of injection. With indocyanine, the colouring is slight.
Allergic reactions
As with any injected product, an allergic reaction is possible but rare, and severe reactions are exceptional. The team is trained and equipped to deal with them, and you remain under observation at the practice after the injection.

Please also tell us if you are pregnant or breastfeeding: the indication is then reassessed with your doctor, and the test postponed if it is not essential.

Download the SFO leaflet — Fluorescein angiography (PDF)

Retinal angiography in Noisy-le-Grand

The Grand Paris Ophtalmologie practice performs retinal angiography on site, during a dedicated consultation, for patients from Noisy-le-Grand and eastern Paris (93, 94, 77): Bry-sur-Marne, Villiers-sur-Marne, Champs-sur-Marne, Chelles, Torcy and Marne-la-Vallée, as well as Le Perreux-sur-Marne, Nogent-sur-Marne, Fontenay-sous-Bois, Vincennes, Saint-Maur-des-Fossés, Créteil, Montreuil and Rosny-sous-Bois — a test usually reserved for specialist centres, without having to go to Paris, interpreted by Dr Mayer Srour, a retina specialist, and Dr Yaïr Chetrit.

Content written and reviewed by Dr Mayer Srour, ophthalmic surgeon in Noisy-le-Grand (Grand Paris Ophtalmologie). Sources: Société Française d'Ophtalmologie (SFO), Haute Autorité de Santé (HAS), Ameli (French national health insurance website). Last updated: September 2026.
Frequently asked questions

Angiography: your questions answered

Answers from Dr Mayer Srour and Dr Yaïr Chetrit, ophthalmologists in Noisy-le-Grand.

Will my skin and urine be yellow after the test?

Yes, with fluorescein: this is normal and harmless — the dye is naturally eliminated within 24 to 48 hours. Drink plenty of fluids after the test to speed up elimination.

Is the test painful?

No — only the placement of the venous line, which is equivalent to a blood test, and the flash of the photographs is briefly dazzling. A feeling of warmth or slight nausea after the injection is possible, brief and harmless.

Can I drive afterwards?

No: your pupils are dilated and your vision remains blurred and dazzled for 2 to 3 hours. Come accompanied or by public transport.

Do I need to fast?

No, you do not need to fast. However, do remember to bring your medical file and the list of your treatments for the pre-test questionnaire.

Are there any risks or side effects?

The test takes place without side effects in the vast majority of cases. Your skin and urine may be coloured yellow for about 24 hours. A questionnaire checks for any history of allergy; severe reactions are exceptional.

What is the difference from OCT angiography?

OCT angiography shows the vessels without an injection, in a few seconds — it is the first-line test. Angiography with dye remains essential to see leakage in real time, to explore the deep choroid (indocyanine) or to assess peripheral ischaemia. Both are available at the practice.

How much time should I allow?

The test lasts ≈ 10 minutes (fluorescein) to 30 minutes (indocyanine), but allow more time for dilation and the questionnaire: about 1 hour to 1 hour 30 minutes at the practice.

Related reading

Condition factsheet
AMD
Angiography in the diagnosis of the wet form.
Condition factsheet
Diabetes and the eyes
Assessing ischaemia and guiding the laser.
The practice
The equipment
The 10 tests performed on site.

Have you been prescribed an angiogram?

The test is performed at the Noisy-le-Grand practice, during a dedicated consultation.

Book an appointment on Doctolib 01 85 10 57 00
An ophthalmologist near you

The Grand Paris Ophtalmologie practice in Noisy-le-Grand provides consultations, screening and surgery for patients from neighbouring towns:

Gournay-sur-Marne Neuilly-sur-Marne Neuilly-Plaisance Bry-sur-Marne Champigny-sur-Marne Champs-sur-Marne Noisiel Gagny Chelles Villiers-sur-Marne Torcy Vaires-sur-Marne Lagny-sur-Marne Thorigny-sur-Marne Bussy-Saint-Georges Chanteloup-en-Brie Esbly Coupvray Chessy Magny-le-Hongre Bailly-Romainvilliers Villeneuve-le-Comte Pontault-Combault Roissy-en-Brie Ozoir-la-Ferrière Créteil Le Perreux-sur-Marne Nogent-sur-Marne Saint-Maur-des-Fossés Fontenay-sous-Bois Vincennes Joinville-le-Pont Chennevières-sur-Marne Le Plessis-Trévise La Queue-en-Brie Sucy-en-Brie Montreuil Rosny-sous-Bois Villemomble Montfermeil Le Raincy Clichy-sous-Bois Livry-Gargan Bondy Émerainville Lognes Serris Montévrain Saint-Thibault-des-Vignes