Contribution of Optical Coherence Tomography in the Diagnosis of Idiopathic Polypoidal Choroidal Vasculopathy in a Young Adult at Iota-Teaching Hospital

Introduction: Idiopathic polypoidal choroidal vasculopathy (IPCV) is a common cause of hemorrhage of the retinal pigmentary epithelium and neurosensory retinal detachment of oxidative origin. Its diagnosis is more easily made by Optical Coherence Tomography and Fluorescence Angiography or ICG. The aim of our work is to highlight the accuracy of OCT and AGF in the diagnosis of IPCV. We report a clinical case received in February 2019 in the vitreoretinal surgery and functional exploration of the visual apparatus department of the IOTA-Teaching Hospital. Case Report: A young man with a personal pathological history of arterial hypertension was referred to the department for macular OCT for central serous chorioretinitis. OCT and intravenous fluorescein angiography showed features of idiopathic polypoidal choroidal vasculopathy. The patient received anti-VEGF injections followed by significant visual improvement. Discussion: The pathogenesis of IPCV is not clearly elaborated, but it appears to be primarily due to an abnormality of choroidal vasculature. Conclusion: IPCV can occur in young subjects and leads to severe impairment of visual function. These severe visual impairments are resolved by the correct use of anti VEGF associated or not with the Argon laser.