Idiopathic polypoidal choroidal vasculopathy associated with retinal arterial macroaneurysm and hypertensive retinopathy.
BACKGROUND
Idiopathic polypoidal choroidal vasculopathy (IPCV), the posterior uveal bleeding syndrome, and multiple recurrent serosanguineous pigment epithelial detachments in black women are a heterogeneous group of related entities seen in elderly hypertensive females. Similar associations are known for retinal arterial macroaneurysm (RAM).


METHODS
This report documents the clinical, fluorescein, and indocyanine green videoangiographic findings of two elderly black female hypertensive patients who presented with IPCV, RAM, and hypertensive retinopathy.


RESULTS
Clinical, fluorescein, and indocyanine green videoangiographic analysis of these two patients revealed hypertensive retinopathy, RAM, and anomalous polypoidal vascular networks associated with focal "bead-string" constrictions, terminal vascular loops, and polypoidal and pinpoint choroidal nodules.


CONCLUSIONS
Certain subgroups of IPCV and related entities and RAM may be pathophysiologically related as analogous hypertensive insults to the choroidal and retinal vascular beds.
Ross
R D
RD
Department of Ophthalmology, Touro Infirmary, New Orleans, Louisiana, USA.
Gitter
K A
KA
Cohen
G
G
Schomaker
K S
KS
D000368:Aged; D000369:Aged, 80 and over; D000783:Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging; D002829:Choroid / Q000098:blood supply* / Q000000981:diagnostic imaging; D015862:Choroid Diseases / Q000150:complications / Q000000981:diagnostic imaging; D005260:Female; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000000981:diagnostic imaging; D007091:Image Processing, Computer-Assisted; D007208:Indocyanine Green; D009798:Ocular Hypertension / Q000150:complications* / Q000000981:diagnostic imaging; D011859:Radiography; D012161:Retinal Artery / Q000000981:diagnostic imaging; D012164:Retinal Diseases / Q000150:complications / Q000000981:diagnostic imaging; D013690:Television
D007208:Indocyanine Green