Choroidal nevus in an eye with polypoidal choroidal vasculopathy
Kazunobu Asao1, Noriyasu Hashida1, Kohji Nishida1
1Department of Ophthalmology, Osaka University Graduate School of Medicine, Osaka, Japan.
Case Reports in Ophthalmology
|January 22, 2015
Summary
Polypoidal choroidal vasculopathy (PCV) can be diagnosed using fundus autofluorescence (FAF) imaging. Intravitreal aflibercept effectively treats pigment epithelial detachment in PCV, maintaining visual acuity.
Area of Science:
- Ophthalmology
- Medical Imaging
- Vascular Biology
Background:
- Polypoidal choroidal vasculopathy (PCV) is a subtype of age-related macular degeneration.
- Distinguishing PCV from other macular diseases is crucial for effective treatment.
Observation:
- A 69-year-old woman presented with distorted vision and a suspected macular tumor.
- Diagnostic imaging revealed choroidal neovascularization (CNV) with pigment epithelial detachment (PED) and polypoidal lesions characteristic of PCV.
Findings:
- Indocyanine green angiography confirmed a branching vascular network resembling polyps.
- Fundus autofluorescence showed mosaic patterns and hyperautofluorescence at the CNV site.
- Intravitreal aflibercept injection led to PED improvement and stable visual acuity over 12 months.
Implications:
- Fundus autofluorescence is valuable for assessing the posterior pole in PCV cases.
- Intravitreal aflibercept offers a viable treatment for PED in PCV, preserving visual function.
Keywords:
AfliberceptAutofluorescenceChoroidal nevusPigment epithelial detachmentPolypoidal choroidal vasculopathyMore Related Videos
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