Document Detail


Idiopathic polypoidal choroidal vasculopathy (IPCV) presenting with simultaneous choroidal neovascular membrane (CNM).
MedLine Citation:
PMID:  15252347     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Idiopathic polypoidal choroidal vasculopathy (IPCV), a rare retinal condition initially described in 1982, is characterized by retinal pigment epithelial (RPE) detachments associated with choroidal polypoidals. Although it is recognized as a unique entity, many consider it a peculiar representation of choroidal neovascular membrane (CNM), commonly associated with age-related macular degeneration (ARMD). We report a case of IPCV with simultaneous presentation of CNM. Dilated examination and fluorescein angiography (FA) revealed RPE detachments associated with choroidal polypoidals. FA also revealed a lacy hyperfluorescent vascular lesion. Ocular manifestations, differential diagnoses, and treatment options are discussed, with emphasis on similarities and differences between IPCV and CNM. It is imperative to consider IPCV in the differential diagnosis of RPE detachments, including those associated with CNM. Careful funduscopic evaluation, FA, and/or indocyanine green videoangiography analysis helps confirm the diagnosis.
Authors:
Diana Shechtman; Julie A Tyler
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Optometry and vision science : official publication of the American Academy of Optometry     Volume:  81     ISSN:  1040-5488     ISO Abbreviation:  Optom Vis Sci     Publication Date:  2004 Jul 
Date Detail:
Created Date:  2004-07-14     Completed Date:  2004-08-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8904931     Medline TA:  Optom Vis Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  491-8     Citation Subset:  IM    
Affiliation:
Nova Southeastern University College of Optometry, 3200 South University Drive, Fort Lauderdale, FL 33328, USA. dianashe@nova.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Choroid / blood supply*
Choroidal Neovascularization / diagnosis*
Female
Fluorescein Angiography
Humans
Membranes / pathology
Peripheral Vascular Diseases / diagnosis*
Pigment Epithelium of Eye / pathology*
Retinal Detachment / diagnosis*
Retinal Hemorrhage / diagnosis*
Visual Acuity
Visual Fields

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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