Abstract
Purpose:To report a case of idiopathic polypoidal choroidal vasculopathy and its angiographic characteristics in a young man.Method:Clinical data including visual acuity, color fundus photography, fluorescein angiograph and indocyanine green findings and management of this case are presented.Results:A young healthy male was presented with sudden loss of vision in the left eye for 3 weeks duration and a visual of 1/200. Fundus examination of the eye showed vitreous hemorrhage with massive sub retinal yellowish old blood in the posterior pole with epiretinal fresh blood on the fovea. Intra-venous Fluorescein angiography and Indocyanine green tests showed features of Idiopathic Polypoidal Choroidal Vasculopathy. The patient received photodynamic therapy twice without significant visual improvement.Conclusion:Idiopathic Polypoidal Choroidal Vasculopathy can occur in a young age group and can lead to severe visual impairment despite treatment with PDT.
Highlights
Idiopathic polypoidal choroidal vasculopathy can occur in a young age group and can lead to severe visual impairment
Idiopathic polypoidal choroidal vasculopathy (IPCV) as cause of recurrent hemorrhagic and oxidative retinal pigment epithelium (RPE) and neurosensory retina detachment was rst described by Yanuzzi[1]
It is associated with multiple, recurrent, serosenguineous detachment of RPE and neurosensory retina secondary to leakage and bleeding from the peculiar choroidal vascular lesion
Summary
Idiopathic polypoidal choroidal vasculopathy (IPCV) as cause of recurrent hemorrhagic and oxidative retinal pigment epithelium (RPE) and neurosensory retina detachment was rst described by Yanuzzi[1]. The primary abnormality involved the choroidal circulation and the characteristic lesions was in the inner choroidal vascular network of vessels ending in an aneurysmal bulge or outward projection visible clinically as a reddish orange spheroidal polyp-like structure. It is associated with multiple, recurrent, serosenguineous detachment of RPE and neurosensory retina secondary to leakage and bleeding from the peculiar choroidal vascular lesion. The diagnosis of IPCV is best made by using indocyanine green test (ICG) because it permits visualization of the choroids vasculature and will show the typical aneurismal and spheroidal vascular dilation of the choroidal vessels[7]
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