Idiopathic polypoidal choroidal vasculopathy masquerading as choroidal tumors: one year follow-up of a peripheral lesion

Arquivos Brasileiros de Oftalmologia

Rony Carlos Preti¹  Mario Luiz Ribeiro Monteiro¹  Celso Morita¹  John Helal Junior¹  Leandro Cabral Zacharias¹  Daniel Araújo Ferraz¹  David E. Pelayes¹  Walter Yukihiko Takahashi¹ 

关键词: Choroid hemorrhage/etiology;    Choroid diseases/pathology;    Fluorescein angiography;    Indocyanine green/diagnostic use;    Choroid/blood supply;    Peripheral vascular diseases;    Pigment epithelium of eye;    Tomography;    optical coherence;    Case reports;    Hemorragia da coroide/etiologia;    Doenças da coroide/patologia;    Angiofluoresceinografia;    Verde indocianina/uso diagnóstico;    Coroide/irrigação sanguínea Doenças vasculares periféricas;    Epitélio pigmentado ocular;    Tomografia de coerência óptica;    Relatos de casos;   

DOI  :  10.5935/0004-2749.20150048

来源: SciELO

【 摘 要 】

ABSTRACT This case report describes peripheral idiopathic polypoidal choroidal vasculopathy (IPCV) with a collection of small aneurysmal dilations that masqueraded as choroidal tumors in an elderly patient. A 68-year-old African American woman was referred to us with a suspected diagnosis of asymptomatic vascular choroidal tumor and choroidal capillary hemangioma, affecting the temporal peripheral fundus. Upon examination, optical coherence tomography (OCT) revealed two large hemorrhagic pigment epithelium detachments (PED), and indocyanine green angiography (ICG) confirmed the diagnosis of IPCV. One year later, there was reduction in the hemorrhagic pigment epithelium detachments and the lesion took on a different appearance, resembling a choroidal osteoma. No treatment was necessary despite the presence of multiple polyps. IPCV is a rare condition that can resemble other choroidal diseases depending on the stage of presentation. OCT is the best tool to determine the characteristics of the lesions, and indocyanine green angiography should be used to confirm the diagnosis. Not all cases require treatment.

【 授权许可】

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