Polypoidal Choroidal Vasculopathy - Optical Coherence Tomography

Optical coherence tomography (OCT) images above are from an 87-year-old black man with polypoidal choroidal vasculopathy disease (PCV). At his initial visit in 2010, his vision was 20/100 in the right eye and 20/20 in the left. OCT scans show subretinal fluid under the fovea (red arrow). After a series of intravitreal avastin injections and one round of photodynamic therapy (PDT), in 2013 his vision returned to 20/20 in the right eye. His vision in his left eye remained at 20/20. In 2016, subretinal fluid accumulated nasal to his macula (yellow arrow). His visual acuity in the right eye decreased slightly but not enough for him to notice a drastic change. From 2016 to 2017, he underwent two rounds of PDT and an intravitreal eylea injection. His vision is now 20/32 in the right eye and 20/25 in the left. From the OCTs, thinning of the retina overtime is also evident (blue arrows). The left eye had no macular involvement, but did have a peripapillary lesion superior to the disc.