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Idiopathic Polypoidal Choroidal Vasculopathy (IPCV) Presenting with Simultaneous Choroidal Neovascular Membrane (CNM)

SHECHTMAN, DIANA OD, FAAO; TYLER, JULIE A. OD, FAAO

Optometry and Vision Science: July 2004 - Volume 81 - Issue 7 - p 491-498
Case Report

Idiopathic polypoidal choroidal vasculopathy (IPCV), a rare retinal condition initially described in 1982, is characterized by retinal pigment epithelial (RPE) detachments associated with choroidal polypoidals. Although it is recognized as a unique entity, many consider it a peculiar representation of choroidal neovascular membrane (CNM), commonly associated with age-related macular degeneration (ARMD). We report a case of IPCV with simultaneous presentation of CNM. Dilated examination and fluorescein angiography (FA) revealed RPE detachments associated with choroidal polypoidals. FA also revealed a lacy hyperfluorescent vascular lesion. Ocular manifestations, differential diagnoses, and treatment options are discussed, with emphasis on similarities and differences between IPCV and CNM. It is imperative to consider IPCV in the differential diagnosis of RPE detachments, including those associated with CNM. Careful funduscopic evaluation, FA, and/or indocyanine green videoangiography analysis helps confirm the diagnosis.

Nova Southeastern University College of Optometry, Fort Lauderdale, Florida

Received January 10, 2003; accepted February 14, 2004.

Diana Shechtman

College of Optometry, Nova Southeastern University, 3200 South University Drive, Fort Lauderdale, FL 33328 e-mail: dianashe@nova.edu

© 2004 American Academy of Optometry