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Idiopathic Polypoidal Choroidal Vasculopathy: A Peripheral Lesion
Arch Ophthalmol. 1998;116:382-383.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Idiopathic polypoidal choroidal vasculopathy (IPCV) is a peculiar vascular abnormality of the inner choroid, composed of 2 components, a network of branching vessels of variable dimension, terminating in aneurysmal-like enlargements with episodic serosanguineous detachments of the retinal pigment epithelium and neurosensory retina.1-3 The network of vessels usually emanates from the peripapillary area or less commonly as an isolated macular lesion.3 While sometimes clinically evident beneath atrophic pigment epithelium as reddish orange, spheroidal or polyplike structures, the vascular abnormality is most clearly discernible using indocyanine green angiography for enhanced choroidal imaging.2-3 We report, to our knowledge, the first case of a peripheral IPCV seen with subretinal hemorrhage.
Report of a Case
A 58-year-old white woman with no previous ocular or systemic history was noted to have a focal area of subretinal hemorrhage of several disc diameters in the inferior temporal fundus (Figure 1). The far peripheral retina and the macular region revealed no . . . [Full Text of this Article] Comment
Corresponding author: Lawrence A. Yannuzzi, MD, LuEsther T. Mertz Retinal Research Department, Manhattan Eye, Ear, and Throat Hospital, 210 E 64th St, New York, NY 10021.
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