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Ophthalmic Images
November 12, 2015

Polypoidal Choroidal Vasculopathy: Imaging by Indocyanine Green Angiography and En Face Optical Coherence Tomography

Author Affiliations
  • 1Division of Ophthalmology, Department of Surgery, University of Hawaii School of Medicine, Honolulu
  • 2Retina Center at Pali Momi, Aiea, Hawaii
  • 3Retina Consultants of Hawaii, Honolulu
  • 4Hawaii Macula and Retina Institute, Aiea
JAMA Ophthalmol. 2015;133(11):e151886. doi:10.1001/jamaophthalmol.2015.1886

Polypoidal choroidal vasculopathy is a variant of subretinal neovascularization. It causes subretinal exudation, subretinal hemorrhage, and retinal pigment epithelial (RPE) detachments. Indocyanine green angiography can visualize well the characteristic branching vascular network and polypoidal dilations lying beneath the RPE. En face optical coherence tomography using data from noninvasive spectral-domain optical coherence tomographic imaging may localize polypoidal choroidal vasculopathy vessels beneath the RPE by using en face imaging software, creating a 20- to 30-μm slice beneath the RPE.

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