Korean J Ophthalmol.  2012 Feb;26(1):15-20. 10.3341/kjo.2012.26.1.15.

Clinical Characteristics of Polypoidal Choroidal Vasculopathy Associated with Chronic Central Serous Chorioretionopathy

Affiliations
  • 1Department of Ophthalmology, Kyungpook National University Hospital, Daegu, Korea. itkim@knu.ac.kr

Abstract

PURPOSE
To investigate the clinical characteristics of polypoidal choroidal vasculopathy (PCV) associated with chronic central serous chorioretinopathy (CSC).
METHODS
We retrospectively reviewed the medical records of 246 PCV patients (283 eyes) between July 2004 and August 2009 and investigated the clinical characteristics of the PCV patients who had specific fundus findings of chronic CSC.
RESULTS
Among PCV patients, 13 eyes (4.6%) of 13 PCV patients (5.3%) had fundus findings of chronic CSC. All of the PCV lesions had a solitary polyp located outside the atrophic retina, predominantly in the macular area (84.6%), most showed an exudative pattern (69.2%) and there were a few that showed a hemorrhagic pattern (30.8%). All of the lesions were smaller than 1 disc diameter. Most of the PCV lesions (76.9%) were cured with less than two treatments in a short period of 6.4 +/- 1.9 months; however, visual acuity deteriorated (61.5%) or was not changed (30.8%) in most of the cases.
CONCLUSIONS
The PCV associated with chronic CSC had several clinical features such as a small exudative retinal lesion with a solitary polyp and frequent involvement of the macular area. Even though there was poor visual outcome due to the atrophic change, all of the PCV lesions were easily resolved in a short period with a simple treatment course and no recurrence.

Keyword

Chronic central serous chorioretinopathy; Indocyanine green angiography; Polypoidal choroidal vasculopathy

MeSH Terms

Aged
Choroid/*blood supply
Choroid Diseases/*complications/diagnosis/therapy
Female
Fluorescein Angiography
Humans
Indocyanine Green/diagnostic use
Male
Middle Aged
Retinal Detachment/complications/diagnosis/therapy
Retinal Diseases/*complications/diagnosis/therapy
Retrospective Studies
Risk Factors
Visual Acuity

Figure

  • Fig. 1 A 73-year-old man (case 12) with a polypoidal choroidal vasculopathy lesion in the submacular hemorrhagic lesion. (A) In fundus photography, an atrophic retinal pigment epithelium (RPE) tract and a submacular hemorrhage were found in the macular area and (B,C) a fluorescein angiography and an indocyanine green angiography (ICGA) showed a solitary polyp near the atrophic RPE tract. (D) Optical coherence tomography showed pigment epithelial detachment in the polypoidal lesion of ICGA, which was scanned on the white line of (C).

  • Fig. 2 A 66-year-old man (case 7) with a polypoidal choroidal vasculopathy lesion around the peripapillary area. (A) Fluorescein angiography (FAG) showed atrophic lesions corresponding to an atrophic retinal pigment epithelium tract and the atrophic lesion in the superior peripapillary area. The polypoidal lesion was found near the superior atrophic lesion. (B) indocyanine green angiography (ICGA) also showed a solitary polyp in the polypoidal lesion of the FAG. (C) Optical coherence tomography showed the pigment epithelium detachment (white arrow) in the polypoidal lesion of the ICGA, which was scanned on the white line of (B).


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