title: Peripheral exudative hemorrhagic chorioretinopathy: a variant of polypoidal choroidal vasculopathy?
abstract: OBJECTIVE
  To report a case of peripheral exudative hemorrhagic chorioretinopathy (PEHCR) in an elderly patient.
  
  
  METHODS
  A 74-year-old Caucasian woman, with a 20-year history of a stable choroidal nevus in her right eye, was referred for evaluation of two small hemorrhagic pigment epithelial detachments (PEDs) affecting the temporal peripheral fundus of the same eye. Nine months later, the lesions became larger and indocyanine green angiography revealed polypoidal choroidal vascular changes corresponding to the location of the ophthalmoscopically visible PEDs. Despite one session of verteporfin photodynamic therapy, the lesions continued to enlarge eventually resulting in the development of a large hemorrhagic PED, which failed to respond to two subsequent injections of intravitreal bevacizumab. The final ophthalmoscopic appearance of the large hemorrhagic PED was typical of PEHCR.
  
  
  CONCLUSIONS
  This case suggests that polypoidal choroidal vascular changes similar to that seen in our patient may underlie the development of PEHCR in some cases.
authors.affiliation: Wills Eye Institute, Thomas Jefferson University, Philadelphia, PA, USA.
authors.forename: Arman
authors.initials: A
authors.lastname: Mashayekhi
authors.affiliation: Wills Eye Institute, Thomas Jefferson University, Philadelphia, PA, USA.
authors.forename: Carol L
authors.initials: CL
authors.lastname: Shields
authors.affiliation: Wills Eye Institute, Thomas Jefferson University, Philadelphia, PA, USA.
authors.forename: Jerry A
authors.initials: JA
authors.lastname: Shields
keywords: Eccentric Disciform Degeneration; Extramacular Disciform Degeneration; Peripheral Exudative Hemorrhagic Chorioretinopathy; Polypoidal Choroidal Vasculopathy