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Chapter-16 Polypoidal Choroidal Vasculopathy

BOOK TITLE: Gems of Ophthalmology—Retina

Author
1. Gopal Lingam
2. Bhargava Mayuri
3. Xinyi Su
ISBN
9789352704026
DOI
10.5005/jp/books/18052_17
Edition
1/e
Publishing Year
2018
Pages
18
Author Affiliations
1. Medical Research Foundation, Sankara Nethralaya, Chennai, India, Sankara Nethralaya, Chennai, Tamil Nadu, India, University Health System, Singapore, Shri Mahavir Vitreoretinal Service, Medical Research Foundation, Sankara Nethralaya, Chennai, Tamil Nadu, India, National University Hospital, Singapore, Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore Eye Research Institute SERI) Singapore
2. National University Hospital, Singapore
3. National University Hospital, Singapore, Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore Eye Research Institute (SERI) Singapore, Institute of Molecular and Cell Biology (IMCB), Agency for Science, Technology and Research (A*STAR), Singapore
Chapter keywords
Polypoidal choroidal vasculopathy, PCV, age-related macular degeneration, AMD, optical coherence tomography, OCT, indocyanine green, ICG, choroidal neovascularization, CNV, fluorescein angiography

Abstract

Polypoidal choroidal vasculopathy (PCV) is a spectrum of disease involving the choroidal vasculature and usually affecting the adult population. Although described first in females of African-American origin, it is now known to be more common in the Asian population. The clinical presentations were initially described as “posterior uveal bleeding syndrome”. The incidence of PCV can be grossly underestimated if retinal surgeons do not routinely use indocyanine green angiography for evaluating serosanguinous maculopathy in adults. This chapter covers the demographics, clinical presentation, symptomatology, types, investigations, diagnosis, age-related macular degeneration and polypoidal choroidal vasculopathy, management, end point of treatment, results, prognosticating factors, genetics, and challenges and future direction.

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