Indian Journal of Ophthalmology

: 2013  |  Volume : 61  |  Issue : 4  |  Page : 184--185

Authors' reply

Moosang Kim1, Jisang Han2, Seung-Young Yu2, Hyung-Woo Kwak2,  
1 Department of Ophthalmology, School of Medicine, Kangwon National University, Chuncheon, Korea
2 Department of Ophthalmology, Kyung Hee University Hospital, Kyung Hee University, Seoul, Korea

Correspondence Address:
Seung-Young Yu
23 Kyungheedae-ro, Dongdaemun-gu, Seoul 130-872

How to cite this article:
Kim M, Han J, Yu SY, Kwak HW. Authors' reply.Indian J Ophthalmol 2013;61:184-185

How to cite this URL:
Kim M, Han J, Yu SY, Kwak HW. Authors' reply. Indian J Ophthalmol [serial online] 2013 [cited 2021 Jan 25 ];61:184-185
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Full Text

Dear Editor,

We appreciate the interest shown by the author in our article. [1] We agree to everything you have mentioned.

Polypoidal choroidal vasculopathy (PCV) has a remitting and relapsing course with a chronic tendency. Association of PCV with other conditions is not conclusive. PCVs with severe undetected thrombocytopenia in the presence of massive hemorrhage have been reported. [2] Some of the patients show arterial changes in the retina, which may represent a variant of the choroidal microaneurysm spectrum. PCV has also been associated with systemic hypertension, [3] sickle cell disease, [4] and radiation. [5] In our case, the patient had been diagnosed with hypertension and atherosclerosis 20 years ago. Hypertension accompanied with arteriosclerosis may increase the fragility of the choroidal vessels, making them more vulnerable to shearing forces.


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2Lip PL, Hope-Ross MW, Gibson JM. Idiopathic polypoidal choroidal vasculopathy: A disease with diverse clinical spectrum and systemic associations. Eye (Lond) 2000;14(Pt 5):695-700.
3Ahuja RM, Stanga PE, Vingerling JR, Reck AC, Bird AC. Polypoidal choroidal vasculopathy in exudative and haemorrhagic pigment epithelial detachments. Br J Ophthalmol 2000;84:479-84.
4Smith RE, Wise K, Kingsley RM. Idiopathic polypoidal choroidal vasculopathy and sickle cell retinopathy. Am J Ophthalmol 2000;129:544-6.
5Spaide RF, Leys A, Herrmann-Delemazure B, Stalmans P, Tittl M, Yannuzzi LA, et al. Radiation-associated choroidal neovasculopathy. Ophthalmology 1999;106:2254-60.