Evaluation of Clinical Findings, Optical Coherence Tomography, Fundus Fluorescein Angiography, and Indocyanine Green Angiography Imaging in Patients with Polypoidal Choroidal Vasculopathy
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Tarih
2020
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objectives: The aim of this study was to describe clinical findings as well as spectral-domain optical coherence tomography (SD-OCT), fundus fluorescein angiography (FA), and indocyanine green angiography (ICGA) findings of polypoidalchoroidal vasculopathy (PCV).Methods: This retrospective, observational case series included 144 eyes of 103 patients who were diagnosed with PCVbetween January 2014 and August 2016. Best corrected visual acuity, 90-diopter lens slit-lamp fundus biomicroscopyexamination findings, color fundus photography, SD-OCT, FA, and ICGA findings were evaluated at the time of diagnosis.Results: Sixty-six patients (93 eyes, 64.1%) were male and 37 (51 eyes, 35.9%) were female. Sixty-two (60.2%) patientshad unilateral involvement. The most common SD-OCT finding was retinal pigment epithelial detachment (PED). Red-orange subretinal lesions were seen in 20 eyes (13.9%). There was a single polyp in 21 (14.6%) eyes, and more than 1 polypin 123 (85.4%) eyes observed with ICGA imaging. The polyps were located in the peripapillary area in 10 (6.9%) eyes, themacular area in 91 (63.2%) eyes, and the extramacular area in 1 (0.7%) eye. A significant branching vascular network wasseen in the ICGA images of 112 (77.8%) eyes.Conclusion: In this study, the majority of patients were male, with unilateral macular polyps. A serous PED and an exudative pattern were the most common clinical manifestations. SD-OCT showed specific findings for PCV, but ICGA wasthe most useful test for diagnosis.
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BEYOGLU EYE JOURNAL
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5
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2
