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Ophthalmic Images |

Polypoidal Choroidal Vasculopathy Imaging by Indocyanine Green Angiography and En Face Optical Coherence Tomography Online Only

Gregg T. Kokame, MD, MMM1,2,3,4; Kelsi Hirai, BS2,3,4; Ryan Yanagihara, BS2,3,4
[+] Author Affiliations
1Division of Ophthalmology, Department of Surgery, University of Hawaii School of Medicine, Honolulu
2Retina Center at Pali Momi, Aiea, Hawaii
3Retina Consultants of Hawaii, Honolulu
4Hawaii Macula and Retina Institute, Aiea
JAMA Ophthalmol. 2015;133(11):e151886. doi:10.1001/jamaophthalmol.2015.1886.
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This case report describes polypoidal choroidal vasculopathy imaged by indocyanine green angiography and en face optical coherence tomography.

Polypoidal choroidal vasculopathy is a variant of subretinal neovascularization. It causes subretinal exudation, subretinal hemorrhage, and retinal pigment epithelial (RPE) detachments. Indocyanine green angiography can visualize well the characteristic branching vascular network and polypoidal dilations lying beneath the RPE. En face optical coherence tomography using data from noninvasive spectral-domain optical coherence tomographic imaging may localize polypoidal choroidal vasculopathy vessels beneath the RPE by using en face imaging software, creating a 20- to 30-μm slice beneath the RPE.

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Figure.

Polypoidal choroidal vasculopathy imaged by indocyanine green angiography (Heidelberg Spectralis) (A), and a remarkably similar image with noninvasive en face optical coherence tomography (20-μm slab, deep to retinal pigment epithelium; Cirrus optical coherence tomography) (B).

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