Figure 4
The case of an 86-year-old man who presented with reduced visual acuity in his right eye. (A) A color fundus photograph shows reddish-orange polypoidal lesions, including his fovea, submacular hemorrhage, and a large area of subretinal fluid (SRF). (B) Fluorescein angiography (FA) demonstrates occult leakage. (C) Indocyanine green angiography (ICGA) shows two polypoidal lesions (white arrows) and an abnormal vascular network (arrow heads). (D, E) An optical coherence tomography (OCT) images obtained at baseline show SRF with polypoidal lesions. (D through the superior polypoidal lesion, E through the inferior polypoidal lesion involving the fovea) The visual acuity (VA) was 0.39 logarithm of the minimum angle of resolution (logMAR) in the right eye, and the patient was diagnosed with PCV. The patient received IVBr injections during the loading phase and during the maintenance phase, he was treated every 3 months IVBr injections. The exudative changes did not recur for 1 year. Twelve months after the first injection, the VA improved to 0.045 logMAR. (F) A color fundus photograph shows no reddish-orange lesion or hemorrhage at the macula. (G) FA shows staining with no leakage. (H) ICGA shows complete polyp regression, although an abnormal vascular network (arrow heads) remained. (I) OCT shows no polypoidal lesion or SRF. Irregular retinal pigment epithelium elevation was observed where the abnormal vascular network was located.
