The Retina Reference

Polypoidal Choroidal Vasculopathy - Indocyanine Green Angiography

Indocyanine green angiography (ICGA) images above come from an 87-year-old black man with polypoidal choroidal vasculopathy (PCV). He has been monitored for PCV since 2010. In 2016, polyps are visible in both eyes (white arrows). Red arrows point to areas of his retina that have atrophied over time. He underwent photodynamic therapy (PDT) in both eyes to prevent hemorrhaging and new neovascularization. Four months later, the peripapillary choroidal neovascularization in his right eye remained inactive (yellow arrow) with regressed polyps (blue arrows). With PDT, the polyp in his left eye is no longer present (green arrow). His vision tested at 20/32 in both eyes and he was asked to return in 2 months for continued follow-up.