Multifocal Polypoidal Choroidal Vasculopathy in Caribbean and African- Americans

Polypoidal Choroidal Vasculopathy (PCV) is a relatively uncommon form of exudative Age-Related Macular Degeneration (ARMD) first described in 1990 by Yannuzzi et al. [1]. It presents as multiple, branching networks of small, polyp-like clusters, or larger identifiable characteristic polyp-like out-pouchings. Manifestations include lipid exudation, serosanguinous pigment epithelial detachments and sub-retinal hemorrhage. Indocyanine-Green (ICG) angiography has been said to be the necessary for delineating the polypoidal vascular abnormalities, but recently hi-resolution spectral domain Ocular Coherence Tomography (OCT) has been demonstrated to perhaps be diagnostic as well [2]. Recently it has been associated with a pachychoroid [3].