24
H. Chen et al.
or sub-RPE hemorrhage or fluid. In the late stage, choroidal neovascularization may
progress to fibrosis and appear as hyperreflective lesion. The leaky neovascularization
can cause intraretinal cysts which appear as non-reflective cysts in retina (Figs. 1.23
and 1.24). The thickness of macula can also be measured at the 9 ETDRS regions
which are important parameters to monitor the prognosis of disease or response to
therapy [18].
Polypoidal choroidal vasculopathy (PCV) is characterized by a branching vascular
network from choroidal vasculature with polypoidal lesions under RPE. It is still
controversial whether PCV is a subtype of AMD or a distinct disease. On OCT,
pigment epithelium detachment, double-layer sign, and thumb-like polyps are more
common in PCV eyes than in AMD eyes [19] (Figs. 1.25, 1.26 and 1.27).
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