Polypoidal Choroidal Vasculopathy - Fluorescein Angiography

These fluorescein angiography (FA) images belong to an 87-year-old black man with polypoidal choroidal vasculopathy (PCV). In 2010, he had complaints of dim and blurred vision in his right eye with no symptoms in the left eye. The dark area is a large hemorrhage beneath the retinal pigment epithelium (RPE) layer (red arrow). Yellow arrows point to characteristics of PCV which are a combination of polyps and choroidal neovascularization. His left eye also had a small hyperreflective spot of neovascularization (green arrow). He underwent a series of intravitreal avastin injections and one round of photodynamic therapy (PDT) to both eyes. His vision in the right eye improved from 20/100 to 20/40 and his left eye stayed at 20/20. In 2011, he had a new hemorrhage in his right eye, this time extending further than the previous (white arrows). Furthermore, he also had new neovascularization and fluid leakage in both eyes (blue arrows). In order to slow the progression of IPCV, he continued to receive treatment. Corresponding fundus, indocyanine green angiography (ICGA), and optical coherence tomography (OCT) images are also available to view in the Images section of IPCV disease.