Bilateral polypoidal choroidal vasculopathy coexisting with exudative and atrophic age-related macular degeneration.

Objective: To present the case of simultaneous presentation of polypoidal choroidal vasculopathy (PCV) and aged-related macular degeneration (AMD).

Case Report: An 83-year-old woman presented with decreased vision in the left eye (LE). In the examination there was an orange peripapillary lesion surrounded by lipid exudates and another subfoveal greyish lesion in the LE. Disciform scarring was observed in the right eye. Fluorescein angiography showed a classic neovascular membrane in in the LE fovea. Indocyanine angiography (ICGA) showed a polyp-like peri-papillary aneurysmal dilation in both eyes. The patient was treated with photodynamic therapy and anti-VEFG injections with stabilisation of the lesions.

Conclusion: PCV and AMD can co-exist in unusual cases. When PCV is suspected, ICGA is mandatory for diagnosis.