Peripheral exudative hemorrhagic chorioretinopathy: polypoidal choroidal vasculopathy and hemodynamic modifications.
Détails
ID Serval
serval:BIB_FBDD89639F97
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Peripheral exudative hemorrhagic chorioretinopathy: polypoidal choroidal vasculopathy and hemodynamic modifications.
Périodique
American Journal of Ophthalmology
ISSN
1879-1891 (Electronic)
ISSN-L
0002-9394
Statut éditorial
Publié
Date de publication
2012
Peer-reviewed
Oui
Volume
153
Numéro
5
Pages
910-922.e2
Langue
anglais
Notes
Publication types: Journal ArticlePublication Status: ppublish
Résumé
PURPOSE: To investigate choroidal vascular abnormalities in peripheral exudative hemorrhagic chorioretinopathy, using dynamic ultrawide-field fluorescein angiography (FA) and indocyanine green angiography (ICGA).¦DESIGN: Prospective observational case series.¦METHODS: This institutional study comprised a consecutive series of 40 patients (48 eyes) with peripheral exudative hemorrhagic chorioretinopathy. Choroidal vascular abnormalities were assessed with dynamic ultrawide-field (150-degree) FA and ICGA, using the Staurenghi 230 SLO Retina Lens and the Heidelberg scanning laser ophthalmoscope. The main outcome measures were morphologic descriptions of structural vascular abnormalities and choroidal hemodynamics (comparison with 30 normal eyes).¦RESULTS: The peripheral mass lesions were highly exudative and hemorrhagic, and usually associated with a pigment epithelium detachment. FA revealed nonspecific alterations corresponding to the visible fundoscopic changes (window defects, blockage, staining), but no neovascular membrane. However, despite frequent masking, ICGA showed hyperfluorescent polyp-like structures in the choroid of the lesion area in 33 eyes (69%) and an abnormal choroidal vascular network in 24 eyes (50%). The abnormal choroidal vascular network filled in the arterial or early venous phase, while the polyp-like structures filled some seconds later. Optical coherence tomography revealed the typical dome-shaped elevation of the pigment epithelium over the vascular polyps. Peripheral choriocapillaris closure was observed as well as dilated shunting vessels.¦CONCLUSION: Peripheral exudative hemorrhagic chorioretinopathy shares many characteristics (polyp-like choroidal telangiectases, abnormal choroidal vascular networks, exudative and hemorrhagic presentation) with polypoidal choroidal vasculopathy. Clarification of the precise role of these abnormalities requires further studies.
Mots-clé
Aged, Aged, 80 and over, Choroid/blood supply, Choroid Diseases/diagnosis, Coloring Agents/diagnostic use, Exudates and Transudates, Female, Fluorescein Angiography, Humans, Indocyanine Green/diagnostic use, Male, Middle Aged, Ophthalmoscopy, Peripheral Vascular Diseases/diagnosis, Polyps/diagnosis, Prospective Studies, Retinal Hemorrhage/diagnosis, Retinal Pigment Epithelium/pathology, Retinal Vessels/pathology, Tomography, Optical Coherence, Visual Acuity
Pubmed
Web of science
Création de la notice
09/07/2012 8:48
Dernière modification de la notice
20/08/2019 16:27