Vojnosanitetski pregled 2012 Volume 69, Issue 1, Pages: 85-89
https://doi.org/10.2298/VSP1201085C
Full text ( 737 KB)
Cited by
Idiopathic polypoidal choroidal vasculopathy
Cekić Sonja (Clinical Centre Niš, Eye Clinic, Niš)
Risimić Dijana (Clinical Centre of Serbia, Clinic for Eye Diseases, Belgrade)
Jovanović Ivan (Medical Faculty, Department for Anatomy, Niš)
Đorđević-Jocić Jasmina (Clinical Centre Niš, Eye Clinic, Niš)
Background. Idiopathic polypoidal choroidal vasculopathy (IPCV) is uncommon
condition. It is considered to be a variant of neovascular age-related
macular degeneration, but it can be also found in younger patients. Case
report. We presented a case of otherwise healthy, 36-year-old women, with
sudden unilateral visual impairment in the left eye and metamorphosia. Slit
lamp biomicroscopy examination of the eye anterior segment was normal.
Intraocular pressure determined by aplanation tonometry was 16 mmHg in both
eyes. Indirect slit lamp biomicroscopy examination showed signs of
serosanquinous detachments of the retinal pigment epithelium. Fluorescein
angiography showed a subretinal vessel network through the pigment epithelial
atrophy with hyperfluorescence in superior part of serohemorrhagic pigment
epithelial detachment and the inferior hypofluorescence, caused by
hemorrhage. Optical coherence tomography proved detachment of the retinal
pigment epithelium. Conclusion. In patients with IPCV a mild, natural course
with spontaneous resorption of exudations and hemorrhage and improvement in
visual acuity can be observed. There is no approved treatment at present.
Keywords: choroid diseases, macular degeneration, tomography, optical coherence, fluoresce in angiography, diagnosis, diagnosis, differential, choroid hemorrhage, prognosis