Optical coherence tomographic findings of idiopathic polypoidal choroidal vasculopathy

Ophthalmic Surg Lasers. May-Jun 2000;31(3):210-4.


Background and objective: To identify the histological level of abnormal vessels associated with idiopathic polypoidal choroidal vasculopathy (IPCV), we examined IPCV with Optical Coherence Tomography (OCT).

Patients and methods: Fourteen patients diagnosed with IPCV were examined with Indocyanine green (ICG) angiography and OCT.

Results: ICG angiography demonstrated branching vascular networks with polypoidal dilatations at the terminals beneath the retinal pigment epithelium (RPE). OCT showed dome-like elevation of the RPE, and moderate reflex or nodular appearance were seen beneath the RPE.

Conclusion: The abnormal vessel associated with IPCV is supposed to be choroidal neovascularization with polypoidal dilatations at the terminals between Bruch's membrane and RPE. We consider that this disease is a peculiar form of age-related macular degeneration.

Publication types

  • Case Reports
  • Comparative Study

MeSH terms

  • Aged
  • Choroid / blood supply*
  • Choroid Diseases / diagnosis*
  • Diagnosis, Differential
  • Diagnostic Techniques, Ophthalmological*
  • Female
  • Fluorescein Angiography
  • Fundus Oculi
  • Humans
  • Interferometry
  • Light
  • Male
  • Middle Aged
  • Pigment Epithelium of Eye / pathology
  • Retinal Vessels / abnormalities*
  • Tomography / methods*
  • Vascular Diseases / diagnosis*