What the Fundus

Polypoidal choroidal vasculopathy (PCV) is a subset of exudative AMD. Turns out that PCV patients are less sensitive to anti-VEGF therapies, so it’s very important to make this differentiation early in the diagnosis.

Differentiating Exudative Macular Degeneration and Polypoidal Choroidal Vasculopathy Using OCT B-Scan

PCV presents with specific U-shaped elevations in the RPE using OCT-B. It is also possible to see the lesions using fundus photography and regular OCT. I know we don’t usually manage these patients because they are referred to a retina specialist. However, I think this is important stuff to know especially if the patient comes back to you and wants to discuss what the retina specialist has told them.