PMID- 34587630 OWN - NLM STAT- MEDLINE DCOM- 20211210 LR - 20220429 IS - 1439-3999 (Electronic) IS - 0023-2165 (Linking) VI - 238 IP - 12 DP - 2021 Dec TI - Thermal Laser Monotherapy for Extrafoveal Polypoidal Choroidal Vasculopathy. PG - 1299-1304 LID - 10.1055/a-1608-1946 [doi] AB - INTRODUCTION: Polypoidal choroidal vasculopathy (PCV) is a vascular disease of the choroid. Diagnosis is mainly based on polypoidal aneurysm-like lesions seen in indocyanine green (ICG) angiography. Various therapeutic options have been proposed. METHODS: Outcomes of 10 cases with extrafoveal PCV and consecutive macular edema treated with thermal laser are reported. Diagnosis of PCV was confirmed by ICG angiography. RESULTS: Upon successful occlusion of the polyps in 10 eyes after thermal laser treatment demonstrated in ICG angiography, a regression of central foveal edema was seen in optical coherence tomography and color fundus photography. Visual acuity improved from logMAR 0.8 to logMAR 0.3. Follow-up ranged from 4 months to 15 years, with a median of 1 year. Two eyes had a recurrence of exudative maculopathy 5 and 7 years after laser treatment, respectively. CONCLUSION: A careful differentiation between various subforms of exudative maculopathy using fluorescein and ICG angiography can identify certain selected patients with extrafoveal PCV, for whom thermal laser monotherapy can be a therapeutic option. CI - Thieme. All rights reserved. FAU - Radeck, Viola Maria Margarete AU - Radeck VMM AUID- ORCID: 0000-0001-9312-4085 AD - Klinik und Poliklinik fur Augenheilkunde, Klinikum der Universitat Regensburg, Regensburg, Germany. FAU - Helbig, Horst AU - Helbig H AD - Klinik und Poliklinik fur Augenheilkunde, Klinikum der Universitat Regensburg, Regensburg, Germany. FAU - Valmaggia, Christophe AU - Valmaggia C AD - Augenklinik, Kantonsspital St. Gallen, St. Gallen, Switzerland. FAU - Barthelmes, Daniel AU - Barthelmes D AUID- ORCID: 0000-0002-5431-4991 AD - Ophthalmology, UniversitatsSpital Zurich Augenklinik und Poliklinik, Zurich, Switzerland. LA - eng PT - Journal Article TT - Thermische Lasermonotherapie zur Behandlung extrafovealer polypoidaler chorioidaler Vaskulopathie. DEP - 20210929 PL - Germany TA - Klin Monbl Augenheilkd JT - Klinische Monatsblatter fur Augenheilkunde JID - 0014133 RN - IX6J1063HV (Indocyanine Green) SB - IM MH - Choroid/diagnostic imaging MH - *Choroid Diseases MH - *Choroidal Neovascularization MH - Fluorescein Angiography MH - Humans MH - Indocyanine Green MH - Lasers MH - *Polyps/surgery MH - Retrospective Studies MH - Tomography, Optical Coherence MH - *Vascular Diseases COIS- The authors declare that they have no conflict of interest. EDAT- 2021/09/30 06:00 MHDA- 2021/12/15 06:00 CRDT- 2021/09/29 20:13 PHST- 2021/09/30 06:00 [pubmed] PHST- 2021/12/15 06:00 [medline] PHST- 2021/09/29 20:13 [entrez] AID - 10.1055/a-1608-1946 [doi] PST - ppublish SO - Klin Monbl Augenheilkd. 2021 Dec;238(12):1299-1304. doi: 10.1055/a-1608-1946. Epub 2021 Sep 29.