Polypoidal choroidal vasculopathy: Pearls in diagnosis and management

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dc.contributor.authorAnantharaman, Gen_US
dc.contributor.authorSheth, Jen_US
dc.contributor.authorBhende, Men_US
dc.contributor.authorNarayanan, Ren_US
dc.contributor.authorNatarajan, Sen_US
dc.contributor.authorRajendran, Aen_US
dc.contributor.authorManayath, Gen_US
dc.contributor.authorSen, Pen_US
dc.contributor.authorBiswas, Ren_US
dc.contributor.authorBanker, Aen_US
dc.contributor.authorGupta, Cen_US
dc.date.accessioned2020-04-10T01:59:48Z
dc.date.available2020-04-10T01:59:48Z
dc.date.issued2018-07
dc.description.abstractPolypoidal choroidal vasculopathy (PCV) is increasingly recognized as an important cause of exudative maculopathy in Asians as against Wet age-related macular degeneration in Caucasians. A panel of retinal experts methodically evaluated pertinent updated literature on PCV with thorough PubMed/MEDLINE search. Based on this, the panel agreed upon and proposed the current consensus recommendations in the diagnosis (clinical and imaging), management and follow-up schedule of PCV. Diagnosis of PCV should be based on the gold standard indocyanine green angiography which demonstrates early nodular hyperfluorescence signifying the polyp with additional features such as abnormal vascular network (AVN). Optical coherence tomography is an excellent adjuvant for diagnosing PCV, monitoring disease activity, and decision-making regarding the treatment. Current treatment modalities for PCV include photodynamic therapy, anti-vascular endothelial growth factor agents, and thermal laser. Choice of specific treatment modality and prognosis depends on multiple factors such as the location and size of PCV lesion, presence or absence of polyp with residual AVN, amount of submacular hemorrhage, presence or absence of leakage on fundus fluorescein angiography, visual acuity, and so on. Current recommendations would be invaluable for the treating physician in diagnosing PCV and in formulating the best possible individualized treatment strategy for optimal outcomes in PCV management.en_US
dc.identifier.affiliationsDepartment of Vitreoretina, Giridhar Eye Institute, Kochi, Kerala, Indiaen_US
dc.identifier.affiliationsDepartment of Vitreoretinal Services, Sri Bhagwan Mahavir Vitreoretinal Services, Medical Research Foundation, Chennai, Tamil Nadu, Indiaen_US
dc.identifier.affiliationsSmt. Kanuri Santhamma Centre for Vitreo Retinal Diseases, LV Prasad Eye Institute, Hyderabad, Telangana, Indiaen_US
dc.identifier.affiliationsDepartment of Vitreoretina, Aditya Jyot Eye Hospital Pvt. Ltd., Mumbai, Maharashtra, Indiaen_US
dc.identifier.affiliationsRetina-Vitreous Service, Aravind Eye Hospital, Postgraduate Institute of Ophthalmology, Madurai, Tamil Nadu, Indiaen_US
dc.identifier.affiliationsDepartment of Retina and Ocular Oncology, Aravind Eye Hospital, Coimbatore, Tamil Nadu, Indiaen_US
dc.identifier.affiliationsDepartment of Vitreoretina, B. B. Eye Foundation, Kolkata, West Bengal, Indiaen_US
dc.identifier.affiliationsBankers Retina Clinic and Laser Centre, Ahmedabad, Gujarat, Indiaen_US
dc.identifier.affiliationsShroff Eye Center, New Delhi, Indiaen_US
dc.identifier.citationAnantharaman G, Sheth J, Bhende M, Narayanan R, Natarajan S, Rajendran A, Manayath G, Sen P, Biswas R, Banker A, Gupta C. Polypoidal choroidal vasculopathy: Pearls in diagnosis and management. Indian Journal of Ophthalmology. 2018 Jul; 66(7): 896-908en_US
dc.identifier.issn0301-4738
dc.identifier.issn1998-3689
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/196799
dc.languageenen_US
dc.publisherAll India Ophthalmological Societyen_US
dc.relation.issuenumber7en_US
dc.relation.volume66en_US
dc.source.urihttps://dx.doi.org/10.4103/ijo.IJO_1136_17en_US
dc.subjectAbnormal vascular networken_US
dc.subjectindocyanine green angiographyen_US
dc.subjectoptical coherence tomographyen_US
dc.subjectphotodynamic therapyen_US
dc.subjectpolypoidal choroidal vasculopathyen_US
dc.subjectthermal laseren_US
dc.titlePolypoidal choroidal vasculopathy: Pearls in diagnosis and managementen_US
dc.typeJournal Articleen_US
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