Idiopathic polypoidal choroidal vasculopathy masquerading as choroidal tumors: one year follow-up of a peripheral lesion

Idiopathic polypoidal choroidal vasculopathy masquerading as choroidal tumors: one year follow-up of a peripheral lesion

ABSTRACT This case report describes peripheral idiopathic polypoidal choroidal vasculopathy (IPCV) with a collection of small aneurysmal dilations that masqueraded as choroidal tumors in an elderly patient. A 68-year-old African American woman was referred to us with a suspected diagnosis of asymptomatic vascular choroidal tumor and choroidal capillary hemangioma, affecting the temporal peripheral fundus. Upon examination, optical coherence tomography (OCT) revealed two large hemorrhagic pigment epithelium detachments (PED), and indocyanine green angiography (ICG) confirmed the diagnosis of IPCV. One year later, there was reduction in the hemorrhagic pigment epithelium detachments and the lesion took on a different appearance, resembling a choroidal osteoma. No treatment was necessary despite the presence of multiple polyps. IPCV is a rare condition that can resemble other choroidal diseases depending on the stage of presentation. OCT is the best tool to determine the characteristics of the lesions, and indocyanine green angiography should be used to confirm the diagnosis. Not all cases require treatment.

Saved in:
Bibliographic Details
Main Authors: Preti,Rony Carlos, Monteiro,Mario Luiz Ribeiro, Morita,Celso, Helal Junior,John, Zacharias,Leandro Cabral, Ferraz,Daniel Araújo, Pelayes,David E., Takahashi,Walter Yukihiko
Format: Digital revista
Language:English
Published: Conselho Brasileiro de Oftalmologia 2015
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492015000300013
Tags: Add Tag
No Tags, Be the first to tag this record!
id oai:scielo:S0004-27492015000300013
record_format ojs
spelling oai:scielo:S0004-274920150003000132015-07-24Idiopathic polypoidal choroidal vasculopathy masquerading as choroidal tumors: one year follow-up of a peripheral lesionPreti,Rony CarlosMonteiro,Mario Luiz RibeiroMorita,CelsoHelal Junior,JohnZacharias,Leandro CabralFerraz,Daniel AraújoPelayes,David E.Takahashi,Walter Yukihiko Choroid hemorrhage/etiology Choroid diseases/pathology Fluorescein angiography Indocyanine green/diagnostic use Choroid/blood supply Peripheral vascular diseases Pigment epithelium of eye Tomography, optical coherence Case reports ABSTRACT This case report describes peripheral idiopathic polypoidal choroidal vasculopathy (IPCV) with a collection of small aneurysmal dilations that masqueraded as choroidal tumors in an elderly patient. A 68-year-old African American woman was referred to us with a suspected diagnosis of asymptomatic vascular choroidal tumor and choroidal capillary hemangioma, affecting the temporal peripheral fundus. Upon examination, optical coherence tomography (OCT) revealed two large hemorrhagic pigment epithelium detachments (PED), and indocyanine green angiography (ICG) confirmed the diagnosis of IPCV. One year later, there was reduction in the hemorrhagic pigment epithelium detachments and the lesion took on a different appearance, resembling a choroidal osteoma. No treatment was necessary despite the presence of multiple polyps. IPCV is a rare condition that can resemble other choroidal diseases depending on the stage of presentation. OCT is the best tool to determine the characteristics of the lesions, and indocyanine green angiography should be used to confirm the diagnosis. Not all cases require treatment.info:eu-repo/semantics/openAccessConselho Brasileiro de OftalmologiaArquivos Brasileiros de Oftalmologia v.78 n.3 20152015-06-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492015000300013en10.5935/0004-2749.20150048
institution SCIELO
collection OJS
country Brasil
countrycode BR
component Revista
access En linea
databasecode rev-scielo-br
tag revista
region America del Sur
libraryname SciELO
language English
format Digital
author Preti,Rony Carlos
Monteiro,Mario Luiz Ribeiro
Morita,Celso
Helal Junior,John
Zacharias,Leandro Cabral
Ferraz,Daniel Araújo
Pelayes,David E.
Takahashi,Walter Yukihiko
spellingShingle Preti,Rony Carlos
Monteiro,Mario Luiz Ribeiro
Morita,Celso
Helal Junior,John
Zacharias,Leandro Cabral
Ferraz,Daniel Araújo
Pelayes,David E.
Takahashi,Walter Yukihiko
Idiopathic polypoidal choroidal vasculopathy masquerading as choroidal tumors: one year follow-up of a peripheral lesion
author_facet Preti,Rony Carlos
Monteiro,Mario Luiz Ribeiro
Morita,Celso
Helal Junior,John
Zacharias,Leandro Cabral
Ferraz,Daniel Araújo
Pelayes,David E.
Takahashi,Walter Yukihiko
author_sort Preti,Rony Carlos
title Idiopathic polypoidal choroidal vasculopathy masquerading as choroidal tumors: one year follow-up of a peripheral lesion
title_short Idiopathic polypoidal choroidal vasculopathy masquerading as choroidal tumors: one year follow-up of a peripheral lesion
title_full Idiopathic polypoidal choroidal vasculopathy masquerading as choroidal tumors: one year follow-up of a peripheral lesion
title_fullStr Idiopathic polypoidal choroidal vasculopathy masquerading as choroidal tumors: one year follow-up of a peripheral lesion
title_full_unstemmed Idiopathic polypoidal choroidal vasculopathy masquerading as choroidal tumors: one year follow-up of a peripheral lesion
title_sort idiopathic polypoidal choroidal vasculopathy masquerading as choroidal tumors: one year follow-up of a peripheral lesion
description ABSTRACT This case report describes peripheral idiopathic polypoidal choroidal vasculopathy (IPCV) with a collection of small aneurysmal dilations that masqueraded as choroidal tumors in an elderly patient. A 68-year-old African American woman was referred to us with a suspected diagnosis of asymptomatic vascular choroidal tumor and choroidal capillary hemangioma, affecting the temporal peripheral fundus. Upon examination, optical coherence tomography (OCT) revealed two large hemorrhagic pigment epithelium detachments (PED), and indocyanine green angiography (ICG) confirmed the diagnosis of IPCV. One year later, there was reduction in the hemorrhagic pigment epithelium detachments and the lesion took on a different appearance, resembling a choroidal osteoma. No treatment was necessary despite the presence of multiple polyps. IPCV is a rare condition that can resemble other choroidal diseases depending on the stage of presentation. OCT is the best tool to determine the characteristics of the lesions, and indocyanine green angiography should be used to confirm the diagnosis. Not all cases require treatment.
publisher Conselho Brasileiro de Oftalmologia
publishDate 2015
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492015000300013
work_keys_str_mv AT pretironycarlos idiopathicpolypoidalchoroidalvasculopathymasqueradingaschoroidaltumorsoneyearfollowupofaperipherallesion
AT monteiromarioluizribeiro idiopathicpolypoidalchoroidalvasculopathymasqueradingaschoroidaltumorsoneyearfollowupofaperipherallesion
AT moritacelso idiopathicpolypoidalchoroidalvasculopathymasqueradingaschoroidaltumorsoneyearfollowupofaperipherallesion
AT helaljuniorjohn idiopathicpolypoidalchoroidalvasculopathymasqueradingaschoroidaltumorsoneyearfollowupofaperipherallesion
AT zachariasleandrocabral idiopathicpolypoidalchoroidalvasculopathymasqueradingaschoroidaltumorsoneyearfollowupofaperipherallesion
AT ferrazdanielaraujo idiopathicpolypoidalchoroidalvasculopathymasqueradingaschoroidaltumorsoneyearfollowupofaperipherallesion
AT pelayesdavide idiopathicpolypoidalchoroidalvasculopathymasqueradingaschoroidaltumorsoneyearfollowupofaperipherallesion
AT takahashiwalteryukihiko idiopathicpolypoidalchoroidalvasculopathymasqueradingaschoroidaltumorsoneyearfollowupofaperipherallesion
_version_ 1756373205277212672

Similar Items