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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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Year : 2008  |  Volume : 15  |  Issue : 2  |  Page : 90-93

Idiopathic polypoidal choroidal vasculopathy in a young man: Case report and literature review

Vitreoretinal Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia

Correspondence Address:
Saba Al-Rashaed
Vitreoretinal Division, King Khaled Eye Specialist Hospital, PO Box 7191, Riyadh 11462
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-9233.52000

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Purpose : To report a case of idiopathic polypoidal choroidal vasculopathy and its angiographic characteristics in a young man. Method : Clinical data including visual acuity, color fundus photography, fluorescein angiograph and indocyanine green findings and management of this case are presented. Results: A young healthy male was presented with sudden loss of vision in the left eye for 3 weeks duration and a visual of 1/200. Fundus examination of the eye showed vitreous hemorrhage with massive sub retinal yellowish old blood in the posterior pole with epiretinal fresh blood on the fovea. Intra-venous Fluorescein angiography and Indocyanine green tests showed features of Idiopathic Polypoidal Choroidal Vasculopathy. The patient received photodynamic therapy twice without significant visual improvement. Conclusion : Idiopathic Polypoidal Choroidal Vasculopathy can occur in a young age group and can lead to severe visual impairment despite treatment with PDT.

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