PMID- 22969281 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20121002 LR - 20211021 IS - 1177-5483 (Electronic) IS - 1177-5467 (Print) IS - 1177-5467 (Linking) VI - 6 DP - 2012 TI - Choroidal excavation with polypoidal choroidal vasculopathy: a case report. PG - 1373-6 LID - 10.2147/OPTH.S33879 [doi] AB - PURPOSE: This is a report of a case of choroidal excavation accompanied by polypoidal choroidal vasculopathy (PCV) and retinal pigment epithelium detachment (PED). METHODS: A 57-year-old Japanese woman who had begun complaining of metamorphopsia in her left eye 7 months earlier underwent spectral-domain optical coherence tomography (SD-OCT), fluorescein angiography (FA), and indocyanine green angiography (IA), as well as a routine ophthalmological examination. RESULTS: The patient's intraocular pressure, visual acuity, and visual field were within normal range. Ophthalmoscopy revealed a serous macular detachment, soft drusen, exudates, and a reddish-orange elevated lesion in the macula of the left eye. The right eye was normal. SD-OCT revealed two lesions in the left eye. One was a PED accompanied by a notch sign, and the other was a choroidal excavation. Additionally, FA revealed a window defect in the PED, and IA showed typical PCV. Three monthly injections of antivascular endothelial growth factor preserved visual acuity, but failed to have any visible effect on the lesion during the 6-month follow up period. CONCLUSIONS: This is the first report of choroidal excavation accompanied by PED and PCV. The data suggest that choroidal excavation may be associated with various changes that have not been previously reported. Careful observation of such cases may therefore be necessary. FAU - Kobayashi, Wataru AU - Kobayashi W AD - Department of Ophthalmology, Tohoku University Graduate School of Medical Science, Sendai, Japan. FAU - Abe, Toshiaki AU - Abe T FAU - Tamai, Hiroshi AU - Tamai H FAU - Nakazawa, Toru AU - Nakazawa T LA - eng PT - Case Reports DEP - 20120827 PL - New Zealand TA - Clin Ophthalmol JT - Clinical ophthalmology (Auckland, N.Z.) JID - 101321512 PMC - PMC3437952 OTO - NOTNLM OT - anti-vascular endothelial growth factor treatment OT - choroidal excavation OT - polypoidal choroidal vasculopathy EDAT- 2012/09/13 06:00 MHDA- 2012/09/13 06:01 PMCR- 2012/08/27 CRDT- 2012/09/13 06:00 PHST- 2012/09/13 06:00 [entrez] PHST- 2012/09/13 06:00 [pubmed] PHST- 2012/09/13 06:01 [medline] PHST- 2012/08/27 00:00 [pmc-release] AID - opth-6-1373 [pii] AID - 10.2147/OPTH.S33879 [doi] PST - ppublish SO - Clin Ophthalmol. 2012;6:1373-6. doi: 10.2147/OPTH.S33879. Epub 2012 Aug 27.