Imaging features of polypoidal choroidal vasculopathy

  • Nguyen Do Thi Ngoc Hien Hanoi Medical University
  • Do Tan Central Eye Hospital

Main Article Content

Keywords

PCV, OCT, fluorescein angiography, ICG

Abstract

Objective: To describe the imaging characteristics of polypoidal choroidal vasculopathy (PCV). Subject and method: A cross-sectional study on 43 eyes (41 patients) who were diagnosed with PCV on ICG at Vitreo-retinal Department, Vietnam National Eye Hospital from October 2013 to February 2020. Result: Mean age was 60.49 ± 9.21 years old. There were 21 male patients, 20 female patients. The characteristic features of PCV on OCT were dome shaped PED (62.8%), finger liked (16.3%) and doubled layers (25.6%). FA was of low value in PCV diagnosis. The definitive diagnosis was confirmed on ICG with solitary form (76.7%) and grape form (23.3%). The locations were foveolar (69.8%), peri-papillary (25.6%) and outside temporal arcade (4.7%). PCV with branching vascular networks was seen in 76.7%. Conclusion: The imaging features of PCV were copious. If OCT findings were important but nonconclusive, ICG diagnosis was specific and precise.

Article Details

References

1. Iijima H, Imai M, Gohdo T et al (1999) Optical coherence tomography of idiopathic polypoidal choroidal vasculopathy. Am J Ophthalmol 127(3): 301–305.
2. Coscas G, Lupidi M, Coscas F et al (2015) Toward a specific classification of polypoidal choroidal vasculopathy: idiopathic disease or subtype of age-related macular degeneration. Invest Ophthalmol Vis Sci 56(5): 3187-3195.
3. Sa HS, Cho HY, and Kang SW (2005) Optical coherence tomography of idiopathic polypoidal choroidal vasculopathy. Korean J Ophthalmol KJO 19(4): 275-280.
4. Kabedi NN, Kayembe DL, Elongo GM et al (2020) Polypoidal choroidal vasculopathy in congolese patients. J Ophthalmol: 4103871.
5. Sato T, Kishi S, Watanabe G et al (2007) Tomographic features of branching vascular networks in polypoidal choroidal vasculopathy. Retina Phila Pa 27(5): 589-594.
6. De Salvo G, Vaz-Pereira S, Keane PA et al (2014) Sensitivity and specificity of spectral-domain optical coherence tomography in detecting idiopathic polypoidal choroidal vasculopathy. Am J Ophthalmol 158(6): 1228-1238.
7. Gomi F, Sawa M, Mitarai K et al (2007) Angiographic lesion of polypoidal choroidal vasculopathy on indocyanine green and fluorescein angiography. Graefes Arch Clin Exp Ophthalmol Albrecht Von Graefes Arch Klin Exp Ophthalmol 245(10): 1421–1427.
8. Tan CS, Ngo WK, Chen JP et al (2015) EVEREST study report 2: Imaging and grading protocol, and baseline characteristics of a randomised controlled trial of polypoidal choroidal vasculopathy. Br J Ophthalmol 99(5): 624–628.
9. Lafaut BA, Leys AM, Snyers B et al (2000) Polypoidal choroidal vasculopathy in Caucasians. Graefes Arch Clin Exp Ophthalmol Albrecht Von Graefes Arch Klin Exp Ophthalmol 238(9): 752–759.
10. Kwok AKH, Lai TYY, Chan CWN et al (2002) Polypoidal choroidal vasculopathy in Chinese patients. Br J Ophthalmol 86(8): 892-897.
11. Zuo C, Wen F, Huang S et al (2010) Angiographic leakage of polypoidal choroidal vasculopathy on indocyanine angiography. Chin Med J (Engl) 123(12): 1548-1552.