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Polypoidal choroidal vasculopathy diagnosis and management. KEY MESSAGESPolypoidal Choroidal Vasculopathy presents clinically and on FA with serohemorrhagic PED or as mimicking AMD or CSC.
1 Opthalmoscopically they appear as multiple reddish-orange protrusions from the choroid into the subretinal space.
Polypoidal choroidal vasculopathy diagnosis and management. Polypoidal choroidal vasculopathy PCV refers to a retinal disorder involving choroidal vasculature featured by presence of polypoidal lesions beneath the retina combined with branching vascular. Based on this the panel agreed upon and proposed the current consensus recommendations in the diagnosis clinical and imaging management and follow-up schedule of PCV. Diagnosis of PCV should be based on the gold standard indocyanine green angiography which demonstrates early nodular hyperfluorescence signifying the polyp with additional features such as abnormal vascular network AVN.
Polypoidal choroidal vasculopathy PCV is an age-related macular degeneration AMD subtype and is seen particularly in Asians. Previous studies have suggested disparity in response to intravitreal injections of anti-vascular endothelial growth factor VEGF agents between PCV and typical AMD and thus the preferred treatment for PCV has remained unclear. Based on recent studies lasercoagulation or PDT is required for closure of PCV complexes and anti-VEGF treatment is useful to reduce PCV-associated macular edema.
KEY MESSAGESPolypoidal Choroidal Vasculopathy presents clinically and on FA with serohemorrhagic PED or as mimicking AMD or CSC. Polyps are visible on OCT as steep domelike elevations. Polypoidal choroidal vasculopathy is a vascular disease of the choroid first described in the 1990s.
Clinically it is characterized by recurrent serosanguineous maculopathy and presence of orange nodules6 7 Currently there is no universally accepted definition of PCV. Most investigators base the diagnosis of PCV on indocyanine green angiography ICGA findings that demonstrate. Polypoidal choroidal vasculopathy PCV is a retinal disorder commonly found in Asians presenting as neovascular age-related macular degeneration and is characterized by serous macular detachment serous or hemorrhagic pigment epithelial detachment subretinal hemorrhage and occasionally visible orange-red subretinal nodular lesions.
Polypoidal choroidal vasculopathy diagnosis and management. Bull Soc Belge Ophtalmol. Polypoidal Choroidal Vasculopathy PCV was first identified in 1985.
Initially considered to be rare PCV is currently frequently diagnosed in patients of African and Asian descent. Polypoidal choroidal vasculopathy PCV was first described by Yannuzzi et al. In 1982 1 as a clinical entity distinctive from neovascular age-related macular degeneration AMD consisting of subretinal polypoidal vascular lesions associated with serous and hemorrhagic pigment epithelial detachments PED.
Polypoidal choroidal vasculopathy PCV is a subtype of neovascular age-relatedmacular degeneration nAMD commonly seen in the Asian population. It isdissimilar in epidemiology genetic heterogeneity pathogenesis natural historyand response to treatment in comparison to nAMD. Pearls in diagnosis and management Giridhar Anantharaman Jay Sheth Muna Bhende 1 Raja Narayanan 2 Sundaram Natarajan 3 Anand Rajendran 4.
Polypoidal choroidal vasculopathy as a disease is yet to be comprehended completely. The clinical features consisting of huge serosanguineous retinal pigment epithelial and neurosensory layer detachments although unique may closely mimick neovascular age-related macular degeneration and other counterparts. Polypoidal Choroidal Vasculopathy PCV was first identified in 1985.
Initially considered to be rare PCV is currently frequently diagnosed in patients of African and Asian descent. In Caucasians PCV counts for 10 of cases of AMD and for up to 85 of patients with hemorrhagic or exudative retinal pigment epithelial detachment. Although the clinical presentation can be suggestive extensive.
Polypoidal choroidal vasculopathy PCV is an age-related macular degeneration AMD subtype and is seen particularly in Asians. Pearls in diagnosis and management By Giridhar Anantharaman Jay Sheth Muna Bhende Raja Narayanan Sundaram Natarajan Anand Rajendran George Manayath Parveen Sen Rupak Biswas Alay Banker and Charu Gupta. Polypoidal choroidal vasculopathy PCV is an age-related macular degeneration AMD subtype and is seen particularly in Asians.
Previous studies have suggested disparity in response to intravitreal injections of anti-vascular endothelial growth factor VEGF agents between PCV and typical AMD and thus the preferred treatment for PCV has remained unclear. 5 Yannuzzi and colleagues introduced the term polypoidal choroidal vasculopathy based on the clinical findings in a larger group of patients. They reported that this entity was noticed in white patients too although it was more common among pigmentary races26 Polypoidal choroidal vasculopathy.
A comprehensive clinical update. Polypoidal choroidal vasculopathy PCV is characterized by a network of branching inner choroidal vessels with terminal polyp-like aneurismal dilations. 1 Opthalmoscopically they appear as multiple reddish-orange protrusions from the choroid into the subretinal space.
2 These lesions are often associated with recurrent exudative and hemorrhagic detachments of the neurosensory retina and.