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Polypoidal choroidal vasculopathy: simultaneous indocyanine green angiography and eye-tracked spectral domain optical coherence tomography findings.
Retina. 2012 Jun; 32(6):1057-68.R

Abstract

PURPOSE

To describe simultaneous scanning laser ophthalmoscope indocyanine green angiographic and eye-tracked spectral-domain optical coherence tomography findings in eyes with polypoidal choroidal vasculopathy (PCV).

METHODS

Eighteen eyes of 18 patients with PCV because of a variety of different diagnoses were imaged with simultaneous scanning laser ophthalmoscope indocyanine green angiography and eye-tracked spectral-domain optical coherence tomography to localize the polyps and their associated vascular structures with respect to the retinal layers.

RESULTS

Regardless of the underlying diagnosis, simultaneous scanning laser ophthalmoscope indocyanine green angiography and eye-tracked spectral-domain optical coherence tomography imaging localized the polypoidal structures of PCV to within larger Type 1 neovascular complexes occurring within or above Bruch membrane. In 8 eyes, PCV appeared to adhere to the undersurface of an elevated retinal pigment epithelial detachment. In 1 eye, a PCV lesion was detected within the neurosensory retina having apparently eroded through the overlying retinal pigment epithelium.

CONCLUSION

Simultaneous scanning laser ophthalmoscope indocyanine green angiography and eye-tracked spectral-domain optical coherence tomography demonstrate that a majority of PCV represents a variant of the Type 1 neovascular growth pattern, which can occur in a variety of different neovascularized maculopathies. Polypoidal choroidal vasculopathy lesions appear to originate from long-standing choroidal neovascularization, rather than from the choroidal vasculature itself. Given these observations, PCV would be more accurately described as a neovasculopathy rather than as a choroidal vasculopathy.

Authors+Show Affiliations

Department of Ophthalmology, New York University Medical Center, New York, New York, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22127224

Citation

Khan, Samira, et al. "Polypoidal Choroidal Vasculopathy: Simultaneous Indocyanine Green Angiography and Eye-tracked Spectral Domain Optical Coherence Tomography Findings." Retina (Philadelphia, Pa.), vol. 32, no. 6, 2012, pp. 1057-68.
Khan S, Engelbert M, Imamura Y, et al. Polypoidal choroidal vasculopathy: simultaneous indocyanine green angiography and eye-tracked spectral domain optical coherence tomography findings. Retina (Philadelphia, Pa). 2012;32(6):1057-68.
Khan, S., Engelbert, M., Imamura, Y., & Freund, K. B. (2012). Polypoidal choroidal vasculopathy: simultaneous indocyanine green angiography and eye-tracked spectral domain optical coherence tomography findings. Retina (Philadelphia, Pa.), 32(6), 1057-68. https://doi.org/10.1097/IAE.0b013e31823beb14
Khan S, et al. Polypoidal Choroidal Vasculopathy: Simultaneous Indocyanine Green Angiography and Eye-tracked Spectral Domain Optical Coherence Tomography Findings. Retina (Philadelphia, Pa). 2012;32(6):1057-68. PubMed PMID: 22127224.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Polypoidal choroidal vasculopathy: simultaneous indocyanine green angiography and eye-tracked spectral domain optical coherence tomography findings. AU - Khan,Samira, AU - Engelbert,Michael, AU - Imamura,Yutaka, AU - Freund,K Bailey, PY - 2011/12/1/entrez PY - 2011/12/1/pubmed PY - 2012/7/31/medline SP - 1057 EP - 68 JF - Retina (Philadelphia, Pa.) JO - Retina (Philadelphia, Pa.) VL - 32 IS - 6 N2 - PURPOSE: To describe simultaneous scanning laser ophthalmoscope indocyanine green angiographic and eye-tracked spectral-domain optical coherence tomography findings in eyes with polypoidal choroidal vasculopathy (PCV). METHODS: Eighteen eyes of 18 patients with PCV because of a variety of different diagnoses were imaged with simultaneous scanning laser ophthalmoscope indocyanine green angiography and eye-tracked spectral-domain optical coherence tomography to localize the polyps and their associated vascular structures with respect to the retinal layers. RESULTS: Regardless of the underlying diagnosis, simultaneous scanning laser ophthalmoscope indocyanine green angiography and eye-tracked spectral-domain optical coherence tomography imaging localized the polypoidal structures of PCV to within larger Type 1 neovascular complexes occurring within or above Bruch membrane. In 8 eyes, PCV appeared to adhere to the undersurface of an elevated retinal pigment epithelial detachment. In 1 eye, a PCV lesion was detected within the neurosensory retina having apparently eroded through the overlying retinal pigment epithelium. CONCLUSION: Simultaneous scanning laser ophthalmoscope indocyanine green angiography and eye-tracked spectral-domain optical coherence tomography demonstrate that a majority of PCV represents a variant of the Type 1 neovascular growth pattern, which can occur in a variety of different neovascularized maculopathies. Polypoidal choroidal vasculopathy lesions appear to originate from long-standing choroidal neovascularization, rather than from the choroidal vasculature itself. Given these observations, PCV would be more accurately described as a neovasculopathy rather than as a choroidal vasculopathy. SN - 1539-2864 UR - https://www.unboundmedicine.com/medline/citation/22127224/Polypoidal_choroidal_vasculopathy:_simultaneous_indocyanine_green_angiography_and_eye_tracked_spectral_domain_optical_coherence_tomography_findings_ L2 - http://dx.doi.org/10.1097/IAE.0b013e31823beb14 DB - PRIME DP - Unbound Medicine ER -