Idiopathic polypoidal choroidal vasculopathy in a patient with atrophic age related macular degeneration
- Retina Service, Ophthalmology Department, Aberdeen Royal Infirmary, Foresterhill, Aberdeen, AB25 2ZN, Scotland, UK
- noemilois{at}aol.com
- Accepted 20 April 2001
Editor,—Since the initial description by Stern and colleagues in 1985,1 the clinical entity now known as idiopathic polypoidal choroidal vasculopathy (IPCV)2 has been increasingly recognised. Although it was initially described in black, middle aged, hypertensive women,1 it is now widely accepted that IPCV can affect men and women of any race, and may represent a significant proportion of patients with age related macular degeneration (AMD).34
In this report, the case of a patient with atrophic AMD and evidence of IPCV is presented. To my knowledge, the co-existence of IPCV and atrophic AMD has not been previously reported.
CASE REPORT
An 80 year old white woman presented complaining of sudden deterioration in vision in her left eye. Her ocular history was remarkable for atrophic AMD. Visual acuity was measured at 6/6 in the right eye and counting fingers in the left eye. On fundus examination of the right eye diffuse soft confluent drusen, …
