{"id":5131,"date":"2025-05-05T14:53:56","date_gmt":"2025-05-05T17:53:56","guid":{"rendered":"https:\/\/sbrv.org\/paciente\/?post_type=doenca&#038;p=5131"},"modified":"2025-05-05T15:32:03","modified_gmt":"2025-05-05T18:32:03","slug":"vasculopatia-polipoidal-de-coroide","status":"publish","type":"doenca","link":"https:\/\/sbrv.org\/paciente\/doencas-retina\/vasculopatia-polipoidal-de-coroide\/","title":{"rendered":"Vasculopatia Polipoidal de Coroide: O que \u00e9, Sintomas, Diagn\u00f3stico e Tratamentos | SBRV"},"content":{"rendered":"\n<p>A vasculopatia polipoidal de coroide (VPC) \u00e9 uma variante de neovasculariza\u00e7\u00e3o macular (neovasculariza\u00e7\u00e3o de coroide) caracterizada pela presen\u00e7a de neovasculariza\u00e7\u00e3o com \u201cp\u00f3lipos\u201d vasculares em suas extremidades, localizadas em camadas profundas da coroide. N\u00e3o h\u00e1 consenso se \u00e9 uma forma diferente de neovasculariza\u00e7\u00e3o ou parte do espectro da DMRI \u00famida. Sua fisiopatologia e resposta ao tratamento geralmente diferem da DMRI. Estima-se que at\u00e9 10% dos casos de neovasculariza\u00e7\u00e3o macular em popula\u00e7\u00f5es asi\u00e1ticas sejam VPC<sup>1<\/sup>, mas tamb\u00e9m ocorre em outras etnias, inclusive em brasileiros. Reconhecer os sinais e sintomas, precocemente, \u00e9 crucial para o tratamento adequado.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">O QUE \u00c9 VPC?<\/h2>\n\n\n\n<p>Na VPC, os vasos coroidianos proliferam formando estruturas aneurism\u00e1ticas (\u201cp\u00f3lipos\u201d) e uma rede vascular an\u00f4mala abaixo do epit\u00e9lio pigmentado da retina. Essa malforma\u00e7\u00e3o leva a exsuda\u00e7\u00e3o, hemorragias sub-retinianas e poss\u00edvel cicatriza\u00e7\u00e3o fibr\u00f3tica.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">CAUSAS E FATORES DE RISCO<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>As causas e fatores de risco n\u00e3o s\u00e3o completamente conhecidas.<\/li>\n\n\n\n<li>Geralmente diagnosticada ap\u00f3s os 60 anos.<\/li>\n\n\n\n<li>Em orientais, a VPC \u00e9 mais comum em homens e \u00e9 unilateral. Em pessoas brancas, acontece mais frequentemente em mulheres e pode ser bilateral.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">SINTOMAS<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Vis\u00e3o central emba\u00e7ada ou ondulada (metamorfopsia).<\/li>\n\n\n\n<li>Mancha escura na vis\u00e3o central (escotoma).<\/li>\n\n\n\n<li>Moscas volantes e sensa\u00e7\u00e3o de \u201csombra\u201d transit\u00f3ria.<\/li>\n\n\n\n<li>Progress\u00e3o vari\u00e1vel: de leve a r\u00e1pida deteriora\u00e7\u00e3o, dependendo do grau de exsuda\u00e7\u00e3o (vazamento).<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">DIAGN\u00d3STICO<\/h2>\n\n\n\n<p>O diagn\u00f3stico parte da avalia\u00e7\u00e3o cl\u00ednica pelo oftalmologista. A partir da suspeita cl\u00ednica, s\u00e3o realizados exames complementares:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>OCT (Tomografia de Coer\u00eancia \u00d3ptica):<\/strong> cortes \u00f3pticos da retina que mostram l\u00edquido sub-retiniano, descolamentos do EPR, sinal da dupla camada e sinal do dedo de luva.<\/li>\n\n\n\n<li><strong>Angiofluoresceinografia:<\/strong> fornece sinais indiretos de neovasculariza\u00e7\u00e3o tipo 1, como vazamento de contraste.<\/li>\n\n\n\n<li><strong>Angio-ICG:<\/strong> exame padr\u00e3o-ouro para identificar os p\u00f3lipos vasculares. Na aus\u00eancia, pode-se associar angiofluoresceinografia ou OCT-A com OCT.<\/li>\n\n\n\n<li><strong>OCT-A:<\/strong> evidencia a rede vascular an\u00f4mala (BVN), embora com menor sensibilidade para os p\u00f3lipos.<\/li>\n<\/ol>\n\n\n\n<p><em>O que esperar:<\/em> exames r\u00e1pidos, indolores; angiofluoresceinografia e ICG exigem inje\u00e7\u00e3o de contraste.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">TRATAMENTO<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Inje\u00e7\u00f5es intrav\u00edtreas de anti-VEGF<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>F\u00e1rmacos principais:<\/strong> aflibercepte, ranibizumabe, faricimabe.<\/li>\n\n\n\n<li><strong>Esquema:<\/strong> mensal por 3 a 6 doses iniciais, seguido de regimes como \u201ctratar e estender\u201d ou \u201ctratar se necess\u00e1rio\u201d.<\/li>\n\n\n\n<li><strong>Efic\u00e1cia:<\/strong> redu\u00e7\u00e3o do fluido e estabiliza\u00e7\u00e3o\/melhora da vis\u00e3o em 70\u201380% dos casos<sup>2<\/sup>.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Terapia fotodin\u00e2mica com verteporfina (PDT)<\/h3>\n\n\n\n<p>Usa laser n\u00e3o t\u00e9rmico (689 nm) para ativar a verteporfina nos vasos anormais, selando-os.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Indica\u00e7\u00e3o:<\/strong> p\u00f3lipos bem definidos e\/ou pouca resposta \u00e0 monoterapia com anti-VEGF.<\/li>\n\n\n\n<li><strong>Mecanismo:<\/strong> reduz exsuda\u00e7\u00e3o e preserva o tecido adjacente.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Combina\u00e7\u00e3o anti-VEGF + PDT<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Sinergia:<\/strong> PDT reduz perfus\u00e3o dos p\u00f3lipos e o anti-VEGF controla o edema.<\/li>\n\n\n\n<li><strong>Resultados:<\/strong> melhora visual mais r\u00e1pida e menor n\u00famero de sess\u00f5es<sup>3<\/sup>.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">PROGN\u00d3STICO<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Estabiliza\u00e7\u00e3o visual em at\u00e9 80% dos casos com tratamento adequado.<\/li>\n\n\n\n<li>Recorr\u00eancia pode ocorrer, exigindo acompanhamento cont\u00ednuo.<\/li>\n\n\n\n<li>Detec\u00e7\u00e3o precoce melhora o progn\u00f3stico.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">PREVEN\u00c7\u00c3O E CUIDADOS<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Monitoramento domiciliar com a tela de Amsler.<\/li>\n\n\n\n<li>Revis\u00f5es oftalmol\u00f3gicas trimestrais nos primeiros 2 anos ou conforme orienta\u00e7\u00e3o m\u00e9dica.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">PERGUNTAS FREQUENTES<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>P\u00f3lipos podem desaparecer sozinhos?<\/strong><br>\u2013 Raramente. O tratamento \u00e9 geralmente necess\u00e1rio.<\/li>\n\n\n\n<li><strong>PDT ou inje\u00e7\u00f5es intrav\u00edtreas s\u00e3o terapias dolorosas?<\/strong><br>\u2013 N\u00e3o. S\u00e3o minimamente dolorosas e realizadas com col\u00edrio anest\u00e9sico.<\/li>\n\n\n\n<li><strong>Posso interromper o anti-VEGF ap\u00f3s melhora?<\/strong><br>\u2013 A interrup\u00e7\u00e3o pode ser considerada pelo m\u00e9dico, mas requer seguimento rigoroso para evitar recidiva.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">REFER\u00caNCIAS BIBLIOGR\u00c1FICAS<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Yannuzzi LA, et al. Idiopathic polypoidal choroidal vasculopathy and neovascular AMD. <em>Retina<\/em>. 1990;10(1):3\u20138.<\/li>\n\n\n\n<li>Spaide RF, et al. Anti-VEGF therapy for PCV. <em>Ophthalmology<\/em>. 2010;117(4):710\u2013721.<\/li>\n\n\n\n<li>Gomi F, et al. Combined PDT and ranibizumab for PCV. <em>Retina<\/em>. 2011;31(3):364\u2013371.<\/li>\n<\/ol>\n","protected":false},"template":"","class_list":["post-5131","doenca","type-doenca","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Vasculopatia Polipoidal de Coroide: O que \u00e9, Sintomas, Diagn\u00f3stico e Tratamentos | SBRV - SBRV - \u00c1rea do Paciente<\/title>\n<meta name=\"description\" content=\"Entenda a vasculopatia polipoidal de coroide: causas, sintomas e op\u00e7\u00f5es terap\u00eauticas. 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