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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Zerbib, Jennifer Semoun, Oudy Souied, Eric H. Benjelloun, Fayçal Coscas, Gabriel Dirani, Ali Lupidi, Marco Coscas, Florence |
| Description | Country affiliation: France Author Affiliation: Coscas G ( Department of Ophthalmology Centre Hospitalier Intercommunal de Créteil, University Paris Est, Créteil, France 2Centre de l'Odéon, Paris, France.); Lupidi M ( Centre de l'Odéon, Paris, France 3Eye Clinic, University of Perugia, S. Maria Della Misericordia Hospital, Perugia, Italy.); Coscas F ( Department of Ophthalmology Centre Hospitalier Intercommunal de Créteil, University Paris Est, Créteil, France 2Centre de l'Odéon, Paris, France.); Benjelloun F ( Department of Ophthalmology Centre Hospitalier Intercommunal de Créteil, University Paris Est, Créteil, France.); Zerbib J ( Department of Ophthalmology Centre Hospitalier Intercommunal de Créteil, University Paris Est, Créteil, France.); Dirani A ( Saint-Joseph University, Faculty of Medicine, Beirut, Lebanon.); Semoun O ( Department of Ophthalmology Centre Hospitalier Intercommunal de Créteil, University Paris Est, Créteil, France.); Souied EH ( Department of Ophthalmology Centre Hospitalier Intercommunal de Créteil, University Paris Est, Créteil, France.) |
| Abstract | PURPOSE: To suggest a clinical distinction between idiopathic polypoidal choroidal vasculopathy (PCV) and secondary polyps associated with neovascular age-related macular degeneration (NV-AMD). METHODS: The study was a retrospective case series of 52 eyes of 52 consecutive patients (31 females and 21 males) diagnosed with PCV. Initial diagnosis was based on scanning laser ophthalmoscope-indocyanine green angiography (SLO-ICGA) in association with fluorescein angiography (FA) and optical coherence tomography (OCT). All the data and images were analyzed in a masked fashion by four experienced examiners in two different sessions: the first, to classify patients into the two hypothesized groups (idiopathic polyps or NV-AMD-related polyps); the second, following a predetermined scheme, to describe objective features. The results obtained in each session underwent a cross multivariate analysis to identify statistically significant differences (P ≤ 0.05) between the two groups. RESULTS: The two groups were clinically different on the basis of FA (leakage origin [P = 0.001] and presence of drusen [P = 0.001]), ICGA (evidence of choroidal neovascularization [CNV; P = 0.001] and/or branching vascular network [BVN; P = 0.001]), OCT imaging (type of pigmented epithelium detachment [P = 0.001], presence of BVN [P = 0.001], and subfoveal choroidal thickness [P = 0.001]). Further significant differences were observed according to the location of lesion (uni- or multifocal) (P = 0.001), type of CNV (P = 0.001), and best-corrected visual acuity (P = 0.001). CONCLUSIONS: Our study demonstrated clinical and statistically significant differences between idiopathic PCV and NV-AMD-related polyps that could be considered as distinct entities. Although they share some similarities, mainly the sub-RPE location, the ability to identify a specific clinical pattern suggests a more specific therapeutic approach for these two entities. |
| ISSN | 01460404 |
| e-ISSN | 15525783 |
| Journal | Investigative Opthalmology & Visual Science |
| Issue Number | 5 |
| Volume Number | 56 |
| Language | English |
| Publisher | Association for Research in Vision and Ophthalmology |
| Publisher Date | 2015-05-01 |
| Publisher Place | United States |
| Access Restriction | Open |
| Subject Keyword | Choroid Pathology Choroidal Neovascularization Classification Polyps Wet Macular Degeneration Diagnosis Coloring Agents Diagnosis, Differential Fluorescein Angiography Indocyanine Green Multimodal Imaging Ophthalmoscopy Retrospective Studies Tomography, Optical Coherence Discipline Ophthalmology |
| Content Type | Text |
| Resource Type | Article |
| Subject | Ophthalmology Sensory Systems Cellular and Molecular Neuroscience |
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