Wong James G, Lai Xin Jie, Sarafian Richard Y, Wong Hon Seng, Smith Jeremy B
Strathfield Retina Clinic, Sydney, NSW, Australia; Medical Retina Unit, Sydney Eye Hospital, Sydney, NSW, Australia; Save Sight Institute, University of Sydney, Sydney, NSW, Australia.
Strathfield Retina Clinic, Sydney, NSW, Australia.
Int Med Case Rep J. 2017 Feb 14;10:51-54. doi: 10.2147/IMCRJ.S107648. eCollection 2017.
We report a case of a Caucasian female who developed active polypoidal choroidal vasculopathy (PCV) at the edge of a stable choroidal nevus and was successfully treated with verteporfin photodynamic therapy. No active polyp was detectable on indocyanine green angiography 2 years after treatment, and good vision was maintained. Indocyanine green angiography is a useful investigation to diagnose PCV and may be underutilized. Unlike treatment of choroidal neovascularization secondary to choroidal nevus, management of PCV secondary to nevus may not require intravitreal anti-vascular endothelial growth factor therapy. Photodynamic monotherapy may be an effective treatment of secondary PCV.
我们报告了一例白种女性病例，该患者在稳定的脉络膜痣边缘发生了活动性息肉样脉络膜血管病变（PCV），并接受维替泊芬光动力疗法成功治疗。治疗2年后，吲哚菁绿血管造影未检测到活动性息肉，且视力保持良好。吲哚菁绿血管造影是诊断PCV的有用检查方法，可能未得到充分利用。与脉络膜痣继发的脉络膜新生血管的治疗不同，痣继发的PCV的管理可能不需要玻璃体内抗血管内皮生长因子治疗。光动力单一疗法可能是继发性PCV的有效治疗方法。
