Polypoidal Choroidal Vasculopathy with Disciform Scar

This montage includes color fundus, fluorescein angiogram, and optical coherence tomographic images (OCT) of a 71-year-old black female patient with polypoidal choroidal vasculopathy. The right color fundus photograph shows a disciform scar (red arrows) with large choroidal feeder vessels (green arrow). The left color fundus shows an orange choroidal patch (blue arrow) which is characteristic of the condition. Such patches contain abnormal choroidal vessels with polypoidal outpouchings that are best visualized with indocyanine green angiography, which was not available for this case. Additionally, there is a small area of subretinal fibrosis (red arrow). The OCT of the right eye shows extensive subretinal scarring (large yellow arrows). The OCT of the left eye shows fibrovascular tissue growing between Bruch’s membrane and the retinal pigment epithelium (small yellow arrow). There is a pocket of choroidal neovascularization on both OCTs (yellow arrows).