Fig. 5

Fundus photographs and indocyanine green angiography (ICGA) imaging of a 50-year-old white woman with metabolic syndrome and bilateral polypoidal choroidal vasculopathy (PCV) who was followed for 104 months. Fundus photos show subretinal hemorrhage along the inferotemporal macula and inferotemporal arcade OD, and central macula scar with pigmentation OS. ICGA shows polypoidal lesions along the temporal macula adjacent to the area of submacular hemorrhage OD and a polyp along the nasal edge of the central macula scar OS. Best corrected visual acuity (BCVA) upon initial diagnosis with PCV was 20/100 (65 letters) OD and counting fingers OS. Vision improved to 20/50 (80 letters) at last follow up visit OD after treatment with focal laser plus 12, 5 and 9 intravitreal injections with bevacizumab, ranibizumab and aflibercept, respectively. Left eye received no treatment and vision remained at counting fingers