Diagnostic and therapeutic approach of choroidal polypoid vasculopathy. Recommendations of the France Macula Federation

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TitreDiagnostic and therapeutic approach of choroidal polypoid vasculopathy. Recommendations of the France Macula Federation
Type de publicationJournal Article
Year of Publication2019
AuteursSrour M., Sayag D., Nghiem-Buffet S., Arndt C., Creuzot-Garcher C., Souied E., Mauget-Faysse M.
JournalJOURNAL FRANCAIS D OPHTALMOLOGIE
Volume42
Pagination762-777
Date PublishedSEP
Type of ArticleArticle
ISSN0181-5512
Mots-clésAnti-VEGF, Indocyanine green angiography (ICGA), Optical Coherence Tomography, Photodynamic therapy (PDT), Polypoidal Choroidal Vasculopathy
Résumé

Purpose. To update the medical literature on the diagnostic and therapeutic approach to polypoidal choroidal vasculopathy (PCV) and to propose a treatment algorithm in agreement with French market approval, supported by the France Macula Federation (FFM). Methods. Literature review and expert opinion. Results. The diagnosis of PCV is based on multimodal imaging, including indocyanine green angiography (ICGA), which is considered the gold standard for the diagnosis of PCV. Regarding the therapeutic management of PCV, the FFM recommends treating PCV first-line either by monotherapy with intra-vitreal anti-vascular endothelial growth factor (anti-VEGF) injections, or by a combined treatment of photodynamic therapy (PDT) with Verteporfin and intra-vitreal anti-VEGF injections, depending on the location of the PCV. (C) 2019 Elsevier Masson SAS. All rights reserved.

DOI10.1016/j.jfo.2019.05.002