De Salvo Gabriella, Vaz-Pereira Sara, Sehmi Kulwant S, Andrews Richard M, Sagoo Mandeep S
Ophthalmic Surg Lasers Imaging Retina. 2015 Nov-Dec;46(10):1062-4. doi: 10.3928/23258160-20151027-15.
Two cases of polypoidal choroidal vasculopathy (PCV) complicating benign choroidal nevus and their tomographic features at spectral-domain optical coherence tomography (SD-OCT) are reported. Two eyes with choroidal nevus and associated subretinal fluid underwent complete ophthalmological examination, SD-OCT, fundus fluorescein angiography, and indocyanine green angiography (ICGA). SD-OCT and ICGA confirmed the diagnosis of PCV in both cases. Ophthalmologists should be aware of this rare combination between choroidal nevus and PCV. If a choroidal nevus presents with subretinal fluid, this does not always herald malignant transformation, and PCV should be ruled out so that the correct treatment can be planned.
报告了两例息肉样脉络膜血管病变（PCV）合并良性脉络膜痣的病例及其在频域光学相干断层扫描（SD-OCT）下的断层特征。对两只患有脉络膜痣并伴有视网膜下液的眼睛进行了全面的眼科检查、SD-OCT、眼底荧光血管造影和吲哚菁绿血管造影（ICGA）。SD-OCT和ICGA均确诊了这两例PCV。眼科医生应注意脉络膜痣与PCV之间这种罕见的组合。如果脉络膜痣出现视网膜下液，这并不总是预示着恶性转化，应排除PCV以便制定正确的治疗方案。
