| Neovascularizations Associated with Large Serous Retinal Pigment Epithelial Detachment: Classification According to the Angiographic Features. |
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Young Hoon Park, Won Ki Lee |
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Department of Ophthalmology, College of Medicine, The Catholic University of Korea, Seoul, Korea. wklee@catholic.ac.kr |
| 큰 망막색소상피박리를 동반한 혈관신생 : 안저혈관조영 소견에 따른 분류 |
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박영훈,이원기 |
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Department of Ophthalmology, College of Medicine, The Catholic University of Korea, Seoul, Korea |
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Correspondence:
Young Hoon Park, M.D. |
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| Abstract |
PURPOSE
To differentiate serous pigment epithelial detachment (PED) according to angiographic features in elderly Korean patients. METHODS: The fluorescein and indocyanine green angiograms of 72 eyes of 67 consecutive patients with a serous PED of at least 1 disc diameter were evaluated retrospectively RESULTS: Polypoidal choroidal vasculopathy (PCV) and typical choroidal neovascularization (CNV) associated with PEDs were identified in 18 eyes (25%) and 19 eyes (26.4%), respectively. In 10 eyes (13.9%), it could not be determined whether the exact type of neovascularzation was PCV or CNV. Pure serous PEDs were identified in 7 eyes (10%). The remaining 18 eyes (25%) of 13 patients were classified as retinal angiomatous proliferation (RAP) associated with PED, based on the angiographic findings of anastomosis of the retinal vasculature with neovascular lesion, as well as clinical features such as diffuse soft drusen, extrafoveal location, preretinal or superficial retinal hemorrhage, and bilateral tendency. CONCLUSIONS: In Asian patients with neovascularized, age-related macular degeneration (AMD), the incidence of PCV is known to be high, whereas the incidence of RAP is very low. However, the results of this study suggest that RAP is as common as PCV and CNV in a subset group of neovascularized AMD that is accompanied by serous PED. |
| Key Words:
Angiographic features;Choroidal neovascularization;Polypoidal choroidal vasculopathy;Retinal angiomatous proliferation |
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