A case of polypoidal choroidal vasculopathy associated with proliferative diabetic retinopathy

Ryosuke Wakusawa, Toshiaki Abe, Madoka Yoshida, Hajime Sato, Hiroshi Kunikata, Hiroshi Miyazawa, Kohji Nishida

Research output: Contribution to journalArticlepeer-review

Abstract

Background : To describe a case of polypoidal choroidal vasculopathy (PCV) associated with proliferative diabetic retinopathy (PDR). Case report : A 58-year-old man was referred to our institution with a 2-week history of decreasing vision in his right eye. His visual acuity was 0.15 in the right eye and 1.2 in the left. Fundus examination showed PDR with extrapapillary retinal neovascularization in both eyes and hemorrhagic pigment epithelial detachment (PED) in the right. We diagnosed PCV in his right eye because of the abnormal choroidal vessel network and polypoidal dilated vessels demonstrated by indocyanine-green angiogram (IA). Photodynamic therapy (PDT) was delivered based on the greatest linear dimension as seen on IA. Three weeks after PDT, panretinal photocoagulation (PRP) was applied. At 6 months after PDT, visual acuity improved to 0.9, and subretinal hemorrhage and PED resolved in the right eye. Conclusion : Combined therapy with PDT and PRP may be effective for PCV associated with PDR.

Original languageEnglish
Pages (from-to)321-325
Number of pages5
JournalFolia Japonica de Ophthalmologica Clinica
Volume1
Issue number4
Publication statusPublished - 2008 Apr

Keywords

  • Panretinal photocoagulation
  • Photodynamic therapy
  • Polypoidal choroidal vasculopathy
  • Proliferative diabetic retinopathy

ASJC Scopus subject areas

  • Ophthalmology

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