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.