J Korean Ophthalmol Soc.  2015 Jul;56(7):1051-1058. 10.3341/jkos.2015.56.7.1051.

Characteristics of Polypoidal Choroidal Vasculopathy Associated with Subretinal Hemorrhage

Affiliations
  • 1Department of Ophthalmology, Daegu Fatima Hospital, Daegu, Korea. mjmom99@naver.com

Abstract

PURPOSE
To evaluate the clinical features and risk factors of hemorrhagic complications in polypoidal choroidal vasculopathy (PCV) using spectral domain-optical coherence tomography (SD-OCT) and indocyanine green angiography (ICGA).
METHODS
We respectively reviewed the data from 43 patients (45 eyes) diagnosed with PCV who received ICGA between January 2010 and October 2013. The patients were divided into 2 groups: 16 patients (17 eyes) with subretinal hemorrhage (subretinal hemorrhagic PCV group) and 27 patients (28 eyes) without subretinal hemorrhage (control group). Based on the ICGA and SD-OCT findings, the number, morphology, location, size of polyps, pigment epithelial detachment (PED), and serous retinal detachment (SRD) were measured and compared between the 2 groups. We also analyzed systemic diseases and history of antithrombotic agents associated with subretinal hemorrhage in PCV.
RESULTS
The size of polyps measured by ICGA was significantly different between the 2 groups (p = 0.006). As the size of polyps increased, the size of subretinal hemorrhage, height of PED, base diameter and height of SRD increased (p < 0.05). No statistical correlation with systemic diseases and antithrombotic agents was observed (p > 0.05).
CONCLUSIONS
The patients in the subretinal hemorrhagic PCV group had larger-sized polyps than the patients in the control group. This result suggests that eyes with larger-sized polyps are at risk for hemorrhagic complications and require more careful follow-up and observation in PCV treatment-naive patients.

Keyword

Indocyanine green angiography; Polypoidal choroidal vasculopathy; Size of polyps; Spectral domain-optical coherence tomography; Subretinal hemorrhage

MeSH Terms

Angiography
Choroid*
Fibrinolytic Agents
Hemorrhage*
Humans
Indocyanine Green
Polyps
Retinal Detachment
Risk Factors
Fibrinolytic Agents
Indocyanine Green
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