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OPHTHALMIC IMAGE
Year : 2020  |  Volume : 68  |  Issue : 11  |  Page : 2532

Polypoidal choroidal vasculopathy invading the optic disc


Department of Ophthalmology, San Raffaele Scientific Institute, University Vita-Salute San Raffaele, Milan, Italy

Date of Web Publication26-Oct-2020

Correspondence Address:
Dr. Giuseppe Querques
Department of Ophthalmology, San Raffaele Scientific Institute, University Vita-Salute San Raffaele, Via Olgettina 60, Milan 20132
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_937_19

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How to cite this article:
Marchese A, Bandello F, Querques G. Polypoidal choroidal vasculopathy invading the optic disc. Indian J Ophthalmol 2020;68:2532

How to cite this URL:
Marchese A, Bandello F, Querques G. Polypoidal choroidal vasculopathy invading the optic disc. Indian J Ophthalmol [serial online] 2020 [cited 2020 Nov 24];68:2532. Available from: https://www.ijo.in/text.asp?2020/68/11/2532/299123



A 90-year-old lady with advanced age-related macular degeneration showed on structural optical coherence tomography (OCT) of the right eye a subretinal aneurysmal lesion at the temporal edge of the optic disc, not associated with exudation [Figure 1]a. On full retinal thickness OCT angiography [Figure 1]b, this structure demonstrated vascular flow and a polypoidal appearance. OCT angiography segmented at the level of the retinal pigment epithelium [Figure 1]c excluded other newvessels, as confirmed by fluorescein angiography [Figure 1]d and indocyanine green angiography (ICGA; [Figure 1]e). ICGA also disclosed a choroidal feeder vessel going through the Bruch's membrane-free optic disc surface.[1],[2],[3]
Figure 1: Multimodal imaging of polypoidal choroidal vasculopathy invading the optic disc. Structural cross-sectional optical coherence tomography (OCT) illustrates a subretinal aneurysmal lesion at the temporal edge of the optic disc (a, arrow). Full retinal thickness OCT angiography (b), shows vascular flow and a polypoidal appearance. OCT angiography segmented at the level of the retinal pigment epithelium (c) excluded the coexistence of other evident choroidal neovascularization. Fluorescein angiography (d) and indocyanine green angiography confirms the vascularization of the polypoidal lesion (e)

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Financial support and sponsorship

PLEX Elite 9000 have been made available through the Advanced Retina Imaging Network for which Giuseppe Querques is a steering Committee Member.

Conflict of interest

Alessandro marchese have no disclosures. Giuseppe querques has the following disclosures: Allergan (S), Alimera (S), Amgen (S), Bayer (S), Khb (S), Novartis (S), Roche (S), Sandoz (S), Zeiss (S); Allergan (C), Alimera (C), Bausch And Lomb (C), Bayer (C), Heidelberg (C), Novartis (C), Zeiss (C). Francesco bandello has the following disclosures: Allergan (S), Alimera (S), Bayer (S), Farmila-Thea (S), Schering Pharma (S), Sanofi-Aventis (S), Novagali (S), Pharma (S), Hoffmann-la Roche (S), Genetech (S), Novartis (s).

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.



 
  References Top

1.
Yannuzzi LA, Sorenson J, Spaide RF, Lipson B. Idiopathic polypoidal choroidal vasculopathy (IPCV). Retina 1990;10:1-8.  Back to cited text no. 1
    
2.
Srour M, Querques G, Semoun O, El Ameen A, Miere A, Sikorav A, et al. Optical coherence tomography angiography characteristics of polypoidal choroidal vasculopathy. Br J Ophthalmol 2016;100:1489-93.  Back to cited text no. 2
    
3.
Dansingani KK, Gal-Or O, Sadda SR, Yannuzzi LA, Freund KB. Understanding aneurysmal type 1 neovascularization (polypoidal choroidal vasculopathy): A lesson in the taxonomy of 'expanded spectra' – A review. Clin Exp Ophthalmol 2018;46:189-200.  Back to cited text no. 3
    


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