Idiopathic polypoidal choroidal vasculopathy: case report.

C. Y. Li, Y. C. Chen, C. L. Ho, J. D. Ho, S. N. Chen

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Citation (Scopus)

Abstract

In 1990, Yannuzzi et al. introduced a new clinical entity, "idiopathic polypoidal choroidal vasculopathy" (IPCV). There is now a more-widespread worldwide recognition of a higher prevalence and importance of this disorder. We report on the first case of IPCV in Taiwan to our knowledge. A 63-year-old Taiwanese man complained of blurred vision in his right eye for 6 months. The anterior segment and vitreous were normal except for mild nuclear cataract changes. Fundus examination of the right eye showed hard exudates and multiple reddish-orange subretinal lesions in the macula. Fundus examination of the left eye was normal. Fluorescein angiography of the right eye showed multiple hyperfluorescent granular lesions in the macula. Subretinal leakage and pooling of fluorescein were present in the temporal macula. Indocyanine green angiography disclosed multiple aneurysmal dilations at the terminals of branching vascular networks. A hyperfluorescent aneurysmal lesion corresponding to the reddish-orange nodule was observed ophthalmoscopically, and a granular lesion was observed in fluorescein angiography. Focal retinal photocoagulation was applied to the leakage area identified with fluorescein angiography. Two months after photocoagulation was performed, the subretinal fluid had gradually resolved, but a new leakage in the macula was demonstrated with fluorescein angiography. His best corrected vision in the right eye was stable.

Original languageEnglish
Title of host publicationChang Gung medical journal
Pages263-268
Number of pages6
Volume24
Edition4
Publication statusPublished - Apr 2001
Externally publishedYes

Fingerprint

Fluorescein Angiography
Light Coagulation
Subretinal Fluid
Indocyanine Green
Exudates and Transudates
Fluorescein
Taiwan
Cataract
Blood Vessels
Dilatation
Angiography

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Li, C. Y., Chen, Y. C., Ho, C. L., Ho, J. D., & Chen, S. N. (2001). Idiopathic polypoidal choroidal vasculopathy: case report. In Chang Gung medical journal (4 ed., Vol. 24, pp. 263-268)

Idiopathic polypoidal choroidal vasculopathy : case report. / Li, C. Y.; Chen, Y. C.; Ho, C. L.; Ho, J. D.; Chen, S. N.

Chang Gung medical journal. Vol. 24 4. ed. 2001. p. 263-268.

Research output: Chapter in Book/Report/Conference proceedingChapter

Li, CY, Chen, YC, Ho, CL, Ho, JD & Chen, SN 2001, Idiopathic polypoidal choroidal vasculopathy: case report. in Chang Gung medical journal. 4 edn, vol. 24, pp. 263-268.
Li CY, Chen YC, Ho CL, Ho JD, Chen SN. Idiopathic polypoidal choroidal vasculopathy: case report. In Chang Gung medical journal. 4 ed. Vol. 24. 2001. p. 263-268
Li, C. Y. ; Chen, Y. C. ; Ho, C. L. ; Ho, J. D. ; Chen, S. N. / Idiopathic polypoidal choroidal vasculopathy : case report. Chang Gung medical journal. Vol. 24 4. ed. 2001. pp. 263-268
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