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IA Meunier, C Favard, G Caputo, P de Laagede Meux; Angiographic Pattern and Visual Outcome of Choroidal Polypoidal Vasculopathy . Invest. Ophthalmol. Vis. Sci. 2002;43(13):1227.
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Purpose:To precise the visual outcome of choroidal polypoidal vasculopathy according to clinical and angiographic data. Methods:Fifteen patients were studied using fluorescein angiography and indocyanine green angiography at inclusion and during follow-up (Topcon imagenet system or Heidelberg SLO). Results:Exsudative macular lesions are most frequently reported (9 case). An extension of macular hemorrhage beneath the fovea was less frequent (6 cases). The choroidal lesions were located on the temporal edge of the optic nerve head or on the inter-papillary-macular zone, in all eyes but two. Laser treatment was performed in all these eyes. Visual acuity dramatically improved in several weeks after resorption of the macular exsudates and edema or the hemorrhage. In the two eyes with subfoveal choroidal polypoidal lesions, visual acuity was stabilized after a transpupillary thermotherapy. Conclusion:In spite of the degree and severity of visual loss at presentation, visual prognosis appears to be relatively fair in cases of polypoidal vasculopathy and a direct laser photocoagulation should be required in all symptomatic eyes.
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