Vasculopatia polipoidal idiopática da coróide: aspectos extremos da evolução da doença em um paciente - Relato de caso

• Autor(a) principal: Barreira, Ieda Maria Alexandre [UNIFESP]
• Data de Publicação: 2005
• Outros Autores: Aragão, Ricardo Evangelista Marrocos De, Vale, Ariosto Bezerra [UNIFESP], Holanda Filha, Joana Gurgel
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• dARK ID: ark:/48912/0013000014vxk
• DOI: 10.1590/S0004-27492005000200019
• Texto Completo: http://dx.doi.org/10.1590/S0004-27492005000200019; http://repositorio.unifesp.br/handle/11600/2463
• topic: Choroid; Choroid hemorrhage; Fundus oculi; Fluorescein angiography; Indocyanine green; Macular degeneration; Choroidal neovascularization; Case report; Coróide; Hemorragia da coróide; Fundo de olho; Angiofluoresceinografia; Verde de indocianina; Degeneração macular; Neovascularizaçao coroidal; Relato de caso

To describe a case of idiopathic polypoidal choroidal vasculopathy and the role of indocyanine green angiography findings in the differential diagnosis of exsudative maculopathies, particularly with age-related macular degeneration, and the extreme evolution of idiopathic polypoidal choroidal vasculopathy in one patient. A patient with vitreous hemorrhage was examined and evaluated by fluorescein and indocyanine green angiographies in the right eye and with hemorrhagic detachment of the retinal pigment epithelium in the left eye. The patient was treated by pars plana vitrectomy in the right eye which was followed by retinal detachment and vision loss. In the left eye an involution of the hemorrhagic detachment of the retinal pigment epithelium with preservation of the vision was seen. The idiopathic polypoidal choroidal vasculopathy seems to be a distinct clinical entity that can and should be differentiated from age-related macular degeneration and the fluorescein and indocyanine green angiographies should be performed to evaluate the choroidal vasculature in an attempt to establish a more definitive diagnosis. Particularly in this case the entity had an extreme clinical course in the patient.