Indocyanine green angiography and idiopathic polypoidal choroidal vasculopathy

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Abstract
Editor,—Idiopathic polypoidal choroidal vasculopathy (IPCV) also known as “posterior uveal bleeding syndrome” or “serosanguineous detachments in black females” is an exudative macular degeneration characterised by a juxtapapillary branching choroidal network with surrounding polypoidal excrescences associated with serous and haemorrhagic detachments of the neurosensory retina and pigment epithelium.1-4 The patients are almost always black females in the fifth to seventh decade. We describe here the indocyanine green angiographic (ICGA) findings of a white male patient with IPCV, who had been misdiagnosed for exudative age related macular degeneration (AMD). ### CASE REPORT A 54 year old white male patient was referred for an ICGA examination with the diagnosis of exudative AMD. He complained of decreased vision and metamorphopsia in his left eye of 10 days’ duration. The past ocular history was remarkable for recurrent serosanguineous exudative maculopathy of his right eye over a period of 10 years. He did not have a history of systemic disease. Visual acuity of the right eye was reduced to 10/200. Visual acuity of the left eye was 25/200. There was no evidence of inflammation in either the anterior chamber or vitreous. Fundus examination of the right eye disclosed a pigment epithelial detachment with a meniscus of subretinal blood superior to the macula (Fig 1A). In addition, marked atrophy of the retinal pigment epithelium with visible choroidal vessels was seen in the centre of the macula. The left fundus revealed a neurosensory detachment of the macula associated with …

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