Summary
Background The idiopathic polypoidal choroidal vasculopathy, also known as “posterior uveal
bleeding syndrome” or “multiple recurrent serosanguineous retinal pigment epithelial
detachments in black women” is a rare disease entity. A clincopathologic correlation
of a patient with this disease is presented.
Case report A 47-year-old black woman was evaluated for a decrease of visual acuity in her right
eye which had occurred over the last 3 months. Ophthalmic examination of her right
eye revealed sub-RPE hemorrhage associated with a reddish-orange subretinal vascular-like
lesion. In addition, both eyes displayed a few choroidal vascular-like bulbous structures
in the superior temporal peripapillary region. region. The patient developed an extensive
choroidal hemorrhage that led eventually to the enucleation of the eye.
Conclusion Choroidal neovascular membranes (CNV) secondary to idiopathic polypoidal choroidal
vasculopathy differs in many aspects from other entities associated with CNV including
clinical and fluorescein angiographic features, clinical course, and prognosis.
Key words
Choroid - Idiopathic polypoidal choroidal vasculopathy - choroidal neovascularization
Schlüsselwörter
Choroidea - Idiopathische polypöse choroidale Vaskulopathie (IPCV) - choroidale Neovasku-larisationsmembran
