Abstract
4/2012
vol. 114
Case report
Polypoidal choroidal vasculopathy with spontaneous regression of subfoveal changes – case report
- Katedra i Klinika Okulistyki Pomorskiego Uniwersytetu Medycznego w Szczecinie Samodzielny Publiczny Szpital Kliniczny nr 2 w Szczecinie
Online publish date: 2012/12/12
Purpose: To report a patient with polypoidal choroidal vasculopathy (PCV) with spontaneous regression of subfoveal changes
during follow-up.
Material and methods: The seventy six years old men was referred to the treatment of exudative type of age related macular
degeneration (AMD) in the RE. The routine ophthalmological examination, the optical coherence tomography (OCT), fluorescein
angiography (FA), and indocyanine green angiography (ICGA) were performed.
Results: Decreasing of visual acuity of the RE and abnormal result of the Amsler test, hemorrhagic and exudative changes near
inferior-temporalis vascular arcade were observed. Intraretinal fluid in the OCT was noted. FA revealed parapapillaris changes
suggesting CNV. ICGA showed the presence of branching vascular network extending from choroidal vasculature (BVN) and
polypoidal and aneurysmal vascular terminal lesion (PL) localized under retinal pigment epithelium (RPE).
Conclusions: Based on the results PCV was diagnosed and the patient was referred to laserotherapy. Due to the regression of
the eye fundus changes during the period of observation, confirmed by control OCT and FA the treatment was not implemented.
during follow-up.
Material and methods: The seventy six years old men was referred to the treatment of exudative type of age related macular
degeneration (AMD) in the RE. The routine ophthalmological examination, the optical coherence tomography (OCT), fluorescein
angiography (FA), and indocyanine green angiography (ICGA) were performed.
Results: Decreasing of visual acuity of the RE and abnormal result of the Amsler test, hemorrhagic and exudative changes near
inferior-temporalis vascular arcade were observed. Intraretinal fluid in the OCT was noted. FA revealed parapapillaris changes
suggesting CNV. ICGA showed the presence of branching vascular network extending from choroidal vasculature (BVN) and
polypoidal and aneurysmal vascular terminal lesion (PL) localized under retinal pigment epithelium (RPE).
Conclusions: Based on the results PCV was diagnosed and the patient was referred to laserotherapy. Due to the regression of
the eye fundus changes during the period of observation, confirmed by control OCT and FA the treatment was not implemented.
Integrated with
