Polypoidal Choroidal Vasculopathy (PCV) (Mosaic of Colour-, FFA-, ICG-, and OCT-Image)
Polypoidal Choroidal Vasculopathy (PCV) (Mosaic of Colour-, FFA-, ICG-, and OCT-Image)
Female, 60 years of age, BCVA 0.6, IOP 16 mmHg, decrease of VA since 9 months, metamorphopsia, arterial hypertension.
(1) Initial fundus photograph shows reddish-orange nodules.
(2) Indocyanine green angiography shows a branching vascular network that terminates in polypoidal lesions.
(3) A vertical optical coherence tomography section through the fovea reveals sharp protrusions of the retinal pigment epithelium due to polypoidal lesions (arrows). A branching vascular network is seen as flat protrusions (arrowheads).
The diagnosis of PCV is based on indocyanine green angiography, which shows a branching vascular network terminating in polypoidal dilation.
Tourtas, Theofilos, Dr.med., Augenklinik mit Poliklinik, Interdisziplinäres Zentrum für augenheilkundliche Präventivmedizin und Imaging, Universität Erlangen, Deutschland, Erlangen, Germany; Michelson, Georg, Prof. Dr. med., Interdisziplinäres Zentrum für augenheilkundliche Präventivmedizin und Imaging, Augenklinik, Friedrich-Alexander Universität Erlangen-Nürnberg, Erlangen, Germany