title: Macular polypoidal choroidal vasculopathy with a remote lesion.
abstract: OBJECTIVE
  To report cases of the macular type of polypoidal choroidal vasculopathy with a remote lesion.
  
  
  METHODS
  We report six patients (seven eyes) with polypoidal choroidal vasculopathy who had macular and remote lesions. These eyes were examined with angiography and tomography.
  
  
  RESULTS
  All seven eyes showed an exudative macular lesion beneath the fovea. In addition, all eyes showed remote polypoidal lesions that were not connected to the macular lesions; the remote lesion was detected outside of the vascular arcade in five eyes, superotemporally beside the optic disc in one eye and on the nasal side of the optic disc in one eye. Indocyanine green angiography, fluorescein angiography and optical coherence tomography failed to reveal any sign of a branching vascular network or choroidal neovascularization that connected the macular lesion with the more remote lesion. At the initial visit, visual acuity in the seven eyes ranged from 6/150 to 6/9 (median, 6/15). Four eyes underwent photodynamic therapy to the exudative macular lesion. During 27.6 +/- 14.3 months of follow up, no worsening was detected in any of the remote lesions. Median visual acuity was 6/60 at the final visit.
  
  
  CONCLUSIONS
  Some patients with macular polypoidal choroidal vasculopathy also have a remote lesion, although the remote lesion seems to have only a minor effect on visual outcome.
authors.affiliation: Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, Japan. tujikawa@kuhp.kyoto-u.ac.jp
authors.forename: Akitaka
authors.initials: A
authors.lastname: Tsujikawa
authors.forename: Hideo
authors.initials: H
authors.lastname: Nakanishi
authors.forename: Yumiko
authors.initials: Y
authors.lastname: Ojima
authors.forename: Daisuke
authors.initials: D
authors.lastname: Iwama
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Tamura
authors.forename: Atsushi
authors.initials: A
authors.lastname: Otani
authors.forename: Nagahisa
authors.initials: N
authors.lastname: Yoshimura
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D044383:Black People / Q000706:statistics & numerical data; D020256:Choroidal Neovascularization / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology*; D005260:Female; D005451:Fluorescein Angiography; D007839:Functional Laterality; D006801:Humans; D008266:Macula Lutea / Q000473:pathology*; D008268:Macular Degeneration / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012164:Retinal Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology*; D055213:Retinal Pigment Epithelium / Q000473:pathology; D012171:Retinal Vessels / Q000473:pathology*; D012189:Retrospective Studies; D041623:Tomography, Optical Coherence; D014792:Visual Acuity