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Atchara Amphornphruet; Massive Hemorrhagic Peripheral Polypoidal Choroidal Vasculopathy Mimic Choroidal Melanoma. Invest. Ophthalmol. Vis. Sci. 2018;59(9):3642.
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© ARVO (1962-2015); The Authors (2016-present)
To report cases of peripheral PCV in the patients referred for suspected choroidal melanoma with angiographically verified PCV who developed massive hemorrhagic PCV.
Retrospective case series of Peripheral PCV lesion presented with choroidal mass.
We report 2 cases, three eyes of peripheral PCV in the patients referred for suspected choroidal melanoma with angiographically verified PCV who developed massive hemorrhagic PCV. The first case is a 67-year-old Thai woman was referred for possible choroidal melanoma in her right eye, Fundus evaluation showed an elevated brown dome-shaped mass lesion in the temporal periphery with hard exudation and subretinal fluid. ICGA showed multiple clusters of polyps at the peripheral lesion. Then 6 months later the left eye came with the same manifestation. The second case is a 35-year-old Thai woman was referred with vitreous hemorrhage with suspected choroidal melanoma in the left eye. Fundus examination showed an elevated multilobular lesion in the inferotemporal periphery with a mixed coloration surface also with subretinal fluid and subretinal hemorrhage. ICGA revealed pulsatile choroidal polyps at border of the mass lesion.
The unusual presentation of peripheral PCV mimicking choroidal melanoma are very challenging for diagnosis and management. To verified choroidal polyps lesion with ICGA are very important to definite diagnosis of PCV in this cases mimiced choroial mass and accuracy plan of management PCV not choroidal melanoma.
This is an abstract that was submitted for the 2018 ARVO Annual Meeting, held in Honolulu, Hawaii, April 29 - May 3, 2018.
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