title: POLYPOIDAL CHOROIDAL VASCULOPATHY: A CLINICOPATHOLOGIC STUDY.
abstract: OBJECTIVE
  To present a unique case of polypoidal choroidal vasculopathy presenting as a blind, painful eye with a suspected intraocular mass, and to correlate clinical findings with histopathologic studies.
  
  
  METHODS
  Clinical case report and literature review.
  
  
  RESULTS
  A 58-year-old Vietnamese man presented with a blind, painful eye with concern for an intraocular mass. B-scan ultrasonography showed massive intraocular hemorrhage and could not rule out a tumor. The patient underwent enucleation and the histopathologic findings were consistent with polypoidal choroidal vasculopathy.
  
  
  CONCLUSIONS
  Polypoidal choroidal vasculopathy can present with dense vitreous hemorrhage and may masquerade as an intraocular mass. It can progress rapidly and lead to profound, irreversible vision loss. A diagnosis of polypoidal choroidal vasculopathy should be considered in patients of African or East Asian origin presenting with vitreous hemorrhage.
authors.affiliation: *Department of Ophthalmology, University of California, San Francisco, San Francisco, California; †Department of Ophthalmology, Byers Eye Institute, Stanford University, Palo Alto, California; and ‡Department of Ophthalmology, Santa Clara Valley Medical Center, San Jose, California.
authors.forename: Kareem
authors.initials: K
authors.lastname: Moussa
authors.forename: Michele M
authors.initials: MM
authors.lastname: Bloomer
authors.forename: Daniel M
authors.initials: DM
authors.lastname: Schwartz
authors.forename: Carolyn K
authors.initials: CK
authors.lastname: Pan
authors.forename: Brian C
authors.initials: BC
authors.lastname: Toy
authors.forename: Joseph B
authors.initials: JB
authors.lastname: Crawford
authors.forename: Armin R
authors.initials: AR
authors.lastname: Afshar
mesh_terms: D015862:Choroid Diseases / Q000473:pathology*; D015353:Eye Enucleation; D006801:Humans; D008297:Male; D008875:Middle Aged; D012163:Retinal Detachment / Q000473:pathology; D014823:Vitreous Hemorrhage / Q000473:pathology