Navegando por Palavras-chave "Choroid hemorrhage"
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- ItemAcesso aberto (Open Access)Vasculopatia polipoidal idiopática da coróide(Conselho Brasileiro de Oftalmologia, 2002-06-01) Andrade, Rafael Ernane [UNIFESP]; Branco, André Castelo [UNIFESP]; Costa, Rogerio Alves [UNIFESP]; Uno, Fausto [UNIFESP]; Nakanami, Maurício [UNIFESP]; Guia, Tércio [UNIFESP]; Farah, Michel Eid [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Purpose: To describe the role of the optical coherence tomography, fluorescein and indocyanine green angiography findings in the diagnosis of idiopathic polypoidal choroidal vasculopathy (IPCV). Methods: A series of four eyes of three patients thought to have IPCV were examined and evaluated by optical coherence tomography, fluorescein and indocyanine green angiographies. Results: Fluorescein angiography was highly important for the diagnosis only in case 1. Indocyanine green angiography showed a branching network of the vessels with marginal vascular dilatations in all cases. Optical coherence tomography showed hemorrhagic detachment of the retinal pigment epithelium contiguous with the anterior delimitation of the polypoidal elements in two cases. Conclusion: The association of clinical manifestations with fluorescein and indocyanine green angiographies and optical coherence tomography can be useful in the differential diagnosis of exudative maculopathies, particularly IPCV with serohemorrhagic manifestations.
- ItemAcesso aberto (Open Access)Vasculopatia polipoidal idiopática da coróide: aspectos extremos da evolução da doença em um paciente - Relato de caso(Conselho Brasileiro de Oftalmologia, 2005-04-01) Barreira, Ieda Maria Alexandre [UNIFESP]; Aragão, Ricardo Evangelista Marrocos De; Vale, Ariosto Bezerra [UNIFESP]; Holanda Filha, Joana Gurgel; Universidade Federal de São Paulo (UNIFESP); Universidade de Regensburg; Universidade Federal do Ceará Hospital Universitário Walter Cantídeo; Universidade Federal do Ceará Faculdade de Medicina; Hospital de Olhos Dr. René Barreira; Universidade Federal do Ceará Hospital Universitário Walter Cantídeo Serviço de OftalmologiaTo describe a case of idiopathic polypoidal choroidal vasculopathy and the role of indocyanine green angiography findings in the differential diagnosis of exsudative maculopathies, particularly with age-related macular degeneration, and the extreme evolution of idiopathic polypoidal choroidal vasculopathy in one patient. A patient with vitreous hemorrhage was examined and evaluated by fluorescein and indocyanine green angiographies in the right eye and with hemorrhagic detachment of the retinal pigment epithelium in the left eye. The patient was treated by pars plana vitrectomy in the right eye which was followed by retinal detachment and vision loss. In the left eye an involution of the hemorrhagic detachment of the retinal pigment epithelium with preservation of the vision was seen. The idiopathic polypoidal choroidal vasculopathy seems to be a distinct clinical entity that can and should be differentiated from age-related macular degeneration and the fluorescein and indocyanine green angiographies should be performed to evaluate the choroidal vasculature in an attempt to establish a more definitive diagnosis. Particularly in this case the entity had an extreme clinical course in the patient.