Evaluation of Cases of Polypoidal Choroidal Vasculopathy Showing Classic Choroidal Neovascularization in their Natural Course

Accession number;06A0448124
Title;Evaluation of Cases of Polypoidal Choroidal Vasculopathy Showing Classic Choroidal Neovascularization in their Natural Course
Author; OTSUJI TSUYOSHI (Fac. Madicine, Kansai Medical Univ., JPN) OTSUJI TSUYOSHI (Saiseikai Izuo Hosp.) TSUMURA AKIKO (Fac. Madicine, Kansai Medical Univ., JPN) TAKAHASHI KANJI (Fac. Madicine, Kansai Medical Univ., JPN) SHO KEN'ICHIRO (Fac. Madicine, Kansai Medical Univ., JPN) NAGAI YOSHIMI (Fac. Madicine, Kansai Medical Univ., JPN) FUKUCHI TOSHIO (Fac. Madicine, Kansai Medical Univ., JPN) ARISAWA AKIKO (Fac. Madicine, Kansai Medical Univ., JPN) MATSUMURA MIYO (Fac. Madicine, Kansai Medical Univ., JPN)
Journal Title;Journal of Japanese Ophthalmological Society
Journal Code:Z0666A
ISSN:0029-0203
VOL.110;NO.6;PAGE.454-461(2006)
Figure&Table&Reference;FIG.7, TBL.1, REF.24
Pub. Country;Japan
Language;Japanese
Abstract;Background: Some cases of polypoidal choroidal vasculopathy(PCV) in their natural course develop into classic choroidal neovascularization (CNV) as shown by fluorescein angiography (FA) findings. Subjects and Method: We evaluated 8 eyes of 8 PCV patients showing classic CNV by FA findings, using indocyanine green angiography (IA) and optical coherence tomography (OCT). Result: All patients showed subretinal grayish exudates, which were considered fibrinous. Five cases were recognized as true subretinal CNV according to IA and OCT findings. The other 3 patients showed polypoidal dilatation with vascular networks by IA, and a moderately reflective mass considered fibrinous over the polypoidal elevation of retinal pigment epithelium (RPE) by OCT. Conclusion: Both true CNV and PCV with fibrin are present in PCV patients showing classic CNV. It requires care to determine proper treatment. (author abst.)