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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Bilateral polypoidal choroidal vasculopathy coexisting with exudative and atroph...
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Vol. 91. Issue 12.
Pages 604-607 (December 2016)
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Vol. 91. Issue 12.
Pages 604-607 (December 2016)
Short communication
Bilateral polypoidal choroidal vasculopathy coexisting with exudative and atrophic age-related macular degeneration
Vasculopatía coroidea polipoidea bilateral, coexistiendo con degeneración macular asociada a la edad exudativa y atrófica
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J.R. Aronés-Santivañez
Corresponding author
arjansa@gmail.com

Corresponding author.
, A. Dyrda, I. Alarcón Valero
Departamento de Oftalmología, Parc de Salut Mar, Hospital de la Esperanza, Barcelona, Spain
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Abstract
Objective

To present the case of simultaneous presentation of polypoidal choroidal vasculopathy (PCV) and aged-related macular degeneration (AMD).

Case report

An 83-year-old woman presented with decreased vision in the left eye (LE). In the examination there was an orange peripapillary lesion surrounded by lipid exudates and another subfoveal grayish lesion in the LE. Disciform scarring was observed in the right eye. Fluorescein angiography showed a classic neovascular membrane in in the LE fovea. Indocyanine angiography (ICGA) showed a polyp-like peri-papillary aneurysmal dilation in both eyes. The patient was treated with photodynamic therapy and anti-VEFG injections with stabilization of the lesions.

Conclusion

PCV and AMD can co-exist in unusual cases. When PCV is suspected, ICGA is mandatory for diagnosis.

Keywords:
Age-related macular degeneration
Polypoidal choroidal vasculopathy
Indocyanine angiography
Photodynamic therapy
Anti-VEGF
Resumen
Objetivo

Presentar el caso clínico de un paciente que presenta vasculopatía coroidea polipoidea (VCP) bilateral y degeneración macular asociada a la edad (DMAE) exudativa y atrófica, su tratamiento.

Caso clínico

Mujer de 83 años presenta disminución de agudeza visual en el ojo izquierdo (OI). Al examen presenta DMAE atrófica en el OD, y en el OI una lesión naranja yuxtapapilar con depósitos lipídicos y otra gris subfoveal inferior. En la angiografía fluoresceínica y de verde de indocianina (AVI) se evidencia una membrana neovascular clásica en el OI, y pólipos yuxtapapilares en ambos ojos. Se realiza terapia fotodinámica con inyecciones anti-VEGF con estabilización de lesiones.

Conclusión

La coexistencia de la vasculopatía polipoidea coroidea y la DMAE exudativa es posible. Ante la sospecha de VCP debe realizarse AVI.

Palabras clave:
Degeneración macular asociada a la edad
Vasculopatía coroidea polipoidea
Angiografía con verde indocianina
Terapia fotodinámica
Anti-VEGF

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