Polypoidal Choroidal Vasculopathy – Literature Review and Case Report

Wydanie 2/2018
str. 86 – 92

Autorzy: Ewelina Lachowicz, Wojciech Lubiński

II Katedra i Klinika Okulistyki Pomorskiego Uniwersytetu Medycznego w Szczecinie,
Samodzielny Publiczny Szpital Kliniczny nr 2 w Szczecinie
Kierownik: prof. dr hab. n. med., FEBO Wojciech Lubiński

Summary: Polypoidal choroidal vasculopathy is an subtype of age-related macular degeneration. It belongs to a spectrum of conditions characterized by pachychoroid, in which disturbance in the choroidal circulation has crucial role in its pathogenesis. Advances in the imaging have facilitated the diagnosis of polypoidal choroidal vasculopathy. Up to date, the algorithm of polypoidal choroidal vasculopathy treatment is not known. Importantly, anti-vascular endothelial growth factor monotherapy and combination with photodynamic therapy is the most appropriate therapy for polypoidal choroidal vasculopathy.

In this review, we summarize the latest updates in the epidemiologic features, pathogenesis, diagnosis and treatment options.
Finally, we report a patient with polypoidal choroidal vasculopathy and with spontaneous regression of subfoveal changes during follow-up.