Polypoidal choroidal vasculopathy and macroaneurysm: respective roles of scanning laser ophthalmoscopy-indocyanine green angiography and optical coherence tomography.
OBJECTIVE
To report on a patient with exudative age-related macular degeneration, polypoidal choroidal vasculopathy, and macroaneurysm.


METHODS
Scanning laser ophthalmoscopy (SLO)-indocyanine green angiography (ICGA) demonstrated the coexistence of several lesions in the same patient. Optical coherence tomography (OCT) combined with ICGA defined the nature of the lesions and the severity of the exudative phenomena.


RESULTS
The eye tracking system ensured precise follow-up of the course of the lesions on both ICGA and spectral domain (SD) OCT. Image correlation provided a precise diagnosis, defining the indications for local and systemic therapy.


CONCLUSIONS
In this patient with multiple lesions, only correlation of clinical examinations and SLO-ICG and SD-OCT imaging allowed a complete assessment with the proposal of a coherent and effective treatment plan.
Coscas
Florence
F
Centre Hospitalier Intercommunal de Créteil, Créteil, France. coscas.f@wanadoo.fr
Coscas
Gabriel
G
Souïed
Eric
E
D000368:Aged; D000783:Aneurysm / Q000175:diagnosis* / Q000188:drug therapy; D020533:Angiogenesis Inhibitors / Q000627:therapeutic use; D002829:Choroid / Q000098:blood supply*; D015862:Choroid Diseases / Q000175:diagnosis* / Q000188:drug therapy; D004396:Coloring Agents; D003941:Diagnostic Techniques, Ophthalmological; D005122:Exudates and Transudates; D005451:Fluorescein Angiography; D006801:Humans; D007208:Indocyanine Green; D058449:Intravitreal Injections; D008297:Male; D009887:Ophthalmoscopy; D016491:Peripheral Vascular Diseases / Q000175:diagnosis* / Q000188:drug therapy; D010778:Photochemotherapy; D012161:Retinal Artery / Q000473:pathology*; D041623:Tomography, Optical Coherence; D042461:Vascular Endothelial Growth Factor A / Q000037:antagonists & inhibitors; D057135:Wet Macular Degeneration / Q000175:diagnosis* / Q000188:drug therapy
D020533:Angiogenesis Inhibitors; D004396:Coloring Agents; C467484:VEGFA protein, human; D042461:Vascular Endothelial Growth Factor A; D007208:Indocyanine Green