title: A New Variant of Polypoidal Choroidal Vasculopathy With Annular Pigmentary Changes in Haitian Males.
abstract: The authors report a new variant of idiopathic polypoidal choroidal vasculopathy (IPCV) in middle-aged Haitian men characterized by extramacular polypoidal lesions and bilateral extensive pigmentary alterations in the posterior pole in an annular wreath-like pattern surrounding the optic nerve and macular area. Two patients were seen at Massachusetts Eye and Ear Infirmary and one at Boston University Medical Center between 2010 and 2015. All three patients were middle-aged Haitian men who exhibited bilateral features of IPCV, including subretinal hemorrhages and serosanguinous pigment epithelial detachments. Indocyanine green angiography revealed extramacular polypoidal lesions located mostly along the major vascular arcades. Extensive pigmentary alterations were evident in the posterior pole surrounding the macula and optic nerve in an annular wreath-like pattern. These cases further expand the clinical spectrum of IPCV.
authors.forename: Aristomenis
authors.initials: A
authors.lastname: Thanos
authors.forename: John B
authors.initials: JB
authors.lastname: Miller
authors.forename: Kelly N
authors.initials: KN
authors.lastname: Ma
authors.forename: Manju L
authors.initials: ML
authors.lastname: Subramanian
authors.forename: Ivana K
authors.initials: IK
authors.lastname: Kim
authors.forename: Dean
authors.initials: D
authors.lastname: Eliott
mesh_terms: D000328:Adult; D000368:Aged; D020533:Angiogenesis Inhibitors / Q000627:therapeutic use; D020256:Choroidal Neovascularization / Q000175:diagnosis* / Q000628:therapy; D003131:Combined Modality Therapy; D005122:Exudates and Transudates; D005451:Fluorescein Angiography; D006205:Haiti; D006801:Humans; D008297:Male; D008875:Middle Aged; D064847:Multimodal Imaging; D010778:Photochemotherapy; D011127:Polyps / Q000175:diagnosis* / Q000188:drug therapy; D012163:Retinal Detachment / Q000175:diagnosis* / Q000628:therapy; D012166:Retinal Hemorrhage / Q000175:diagnosis* / Q000628:therapy; D055213:Retinal Pigment Epithelium / Q000473:pathology*; D041623:Tomography, Optical Coherence; D042461:Vascular Endothelial Growth Factor A / Q000037:antagonists & inhibitors
chemical_list: D020533:Angiogenesis Inhibitors; C467484:VEGFA protein, human; D042461:Vascular Endothelial Growth Factor A