Choroidal excavation with polypoidal choroidal vasculopathy: a case report

Wataru Kobayashi,1 Toshiaki Abe,2 Hiroshi Tamai,1 Toru Nakazawa11Department of Ophthalmology, 2Division of Clinical Cell Therapy, Center for Advanced Medical Research and Development (ART), Tohoku University Graduate School of Medical Science, Sendai, JapanPurpose: This is a report of a case of chor...

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Autores principales:	Kobayashi W, Abe T, Tamai H, Nakazawa T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/2344c2adce9f491d8eb4d54550e247b4
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spelling	oai:doaj.org-article:2344c2adce9f491d8eb4d54550e247b42021-12-02T04:57:40ZChoroidal excavation with polypoidal choroidal vasculopathy: a case report1177-54671177-5483https://doaj.org/article/2344c2adce9f491d8eb4d54550e247b42012-08-01T00:00:00Zhttp://www.dovepress.com/choroidal-excavation-with-polypoidal-choroidal-vasculopathy-a-case-rep-a10826https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Wataru Kobayashi,1 Toshiaki Abe,2 Hiroshi Tamai,1 Toru Nakazawa11Department of Ophthalmology, 2Division of Clinical Cell Therapy, Center for Advanced Medical Research and Development (ART), Tohoku University Graduate School of Medical Science, Sendai, JapanPurpose: This is a report of a case of choroidal excavation accompanied by polypoidal choroidal vasculopathy (PCV) and retinal pigment epithelium detachment (PED).Methods: A 57-year-old Japanese woman who had begun complaining of metamorphopsia in her left eye 7 months earlier underwent spectral-domain optical coherence tomography (SD-OCT), fluorescein angiography (FA), and indocyanine green angiography (IA), as well as a routine ophthalmological examination.Results: The patient&rsquo;s intraocular pressure, visual acuity, and visual field were within normal range. Ophthalmoscopy revealed a serous macular detachment, soft drusen, exudates, and a reddish-orange elevated lesion in the macula of the left eye. The right eye was normal. SD-OCT revealed two lesions in the left eye. One was a PED accompanied by a notch sign, and the other was a choroidal excavation. Additionally, FA revealed a window defect in the PED, and IA showed typical PCV. Three monthly injections of antivascular endothelial growth factor preserved visual acuity, but failed to have any visible effect on the lesion during the 6-month follow up period.Conclusions: This is the first report of choroidal excavation accompanied by PED and PCV. The data suggest that choroidal excavation may be associated with various changes that have not been previously reported. Careful observation of such cases may therefore be necessary.Keywords: choroidal excavation, polypoidal choroidal vasculopathy, anti-vascular endothelial growth factor treatmentKobayashi WAbe TTamai HNakazawa TDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 1373-1376 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Kobayashi W Abe T Tamai H Nakazawa T Choroidal excavation with polypoidal choroidal vasculopathy: a case report
description	Wataru Kobayashi,1 Toshiaki Abe,2 Hiroshi Tamai,1 Toru Nakazawa11Department of Ophthalmology, 2Division of Clinical Cell Therapy, Center for Advanced Medical Research and Development (ART), Tohoku University Graduate School of Medical Science, Sendai, JapanPurpose: This is a report of a case of choroidal excavation accompanied by polypoidal choroidal vasculopathy (PCV) and retinal pigment epithelium detachment (PED).Methods: A 57-year-old Japanese woman who had begun complaining of metamorphopsia in her left eye 7 months earlier underwent spectral-domain optical coherence tomography (SD-OCT), fluorescein angiography (FA), and indocyanine green angiography (IA), as well as a routine ophthalmological examination.Results: The patient&rsquo;s intraocular pressure, visual acuity, and visual field were within normal range. Ophthalmoscopy revealed a serous macular detachment, soft drusen, exudates, and a reddish-orange elevated lesion in the macula of the left eye. The right eye was normal. SD-OCT revealed two lesions in the left eye. One was a PED accompanied by a notch sign, and the other was a choroidal excavation. Additionally, FA revealed a window defect in the PED, and IA showed typical PCV. Three monthly injections of antivascular endothelial growth factor preserved visual acuity, but failed to have any visible effect on the lesion during the 6-month follow up period.Conclusions: This is the first report of choroidal excavation accompanied by PED and PCV. The data suggest that choroidal excavation may be associated with various changes that have not been previously reported. Careful observation of such cases may therefore be necessary.Keywords: choroidal excavation, polypoidal choroidal vasculopathy, anti-vascular endothelial growth factor treatment
format	article
author	Kobayashi W Abe T Tamai H Nakazawa T
author_facet	Kobayashi W Abe T Tamai H Nakazawa T
author_sort	Kobayashi W
title	Choroidal excavation with polypoidal choroidal vasculopathy: a case report
title_short	Choroidal excavation with polypoidal choroidal vasculopathy: a case report
title_full	Choroidal excavation with polypoidal choroidal vasculopathy: a case report
title_fullStr	Choroidal excavation with polypoidal choroidal vasculopathy: a case report
title_full_unstemmed	Choroidal excavation with polypoidal choroidal vasculopathy: a case report
title_sort	choroidal excavation with polypoidal choroidal vasculopathy: a case report
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/2344c2adce9f491d8eb4d54550e247b4
work_keys_str_mv	AT kobayashiw choroidalexcavationwithpolypoidalchoroidalvasculopathyacasereport AT abet choroidalexcavationwithpolypoidalchoroidalvasculopathyacasereport AT tamaih choroidalexcavationwithpolypoidalchoroidalvasculopathyacasereport AT nakazawat choroidalexcavationwithpolypoidalchoroidalvasculopathyacasereport
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Choroidal excavation with polypoidal choroidal vasculopathy: a case report

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