EXTENDED REPORT

Evaluation of central serous retinopathy with en face optical coherence tomography

M E J van Velthoven¹, F D Verbraak^1,2, P M Garcia³, R O Schlingemann¹, R B Rosen³ and M D de Smet¹

¹ Department of Ophthalmology, Academic Medical Centre, Amsterdam, Netherlands
² Laser Centre, Academic Medical Centre, Amsterdam, Netherlands
³ New York Eye and Ear Infirmary, New York, USA

Correspondence to:
Correspondence to:
MsM E J van Velthoven
MD, Department of Ophthalmology, Academic Medical Centre, PO Box 22660, 1100 DD Amsterdam, Netherlands; m.e.vanvelthoven{at}amc.uva.nl

Background: The diagnosis of idiopathic central serous retinopathy (CSR) is usually based on biomicroscopy and fluorescein angiography (FA). The optical coherence tomography (OCT) ophthalmoscope produces en face OCT scans (OCT C-scans) and provides additional information not readily available by conventional imaging techniques. The authors describe the characteristic features observed in patients with a clinical diagnosis of CSR using the OCT ophthalmoscope.

Methods: 38 eyes with a clinical diagnosis of CSR, seen at the Academic Medical Centre (Amsterdam, Netherlands) and the New York Eye and Ear Infirmary (New York, USA) between August 2002 and March 2004, were evaluated with standard digital FA and scanned with the OCT ophthalmoscope.

Results: Nine of 38 eyes had no serous neurosensory detachment (inactive CSR) when scanned with the OCT ophthalmoscope. Characteristics for active CSR (n = 29) were large neurosensory detachment (23/29), subretinal hyper-reflective deposits (20/29), and pigment epithelial detachment (15/29). One third of the patients, either active or inactive, had multiple small pigment epithelial detachments located both within and outside the neurosensory detachment.

Conclusion: The OCT ophthalmoscope provides complementary morphological information on patients with CSR. The presence of more diffuse retinal pigment epithelium (RPE) changes lends further support to the concept that CSR is a diffuse rather than localised RPE anomaly.

Abbreviations: BCVA, best corrected visual acuity; CSR, central serous retinopathy; FA, fluorescein angiography; ICG, indocyanine green; OCT, optical coherence tomography; PED, pigment epithelial detachments; RPE, retinal pigment epithelium

Keywords: central serous retinopathy; optical coherence tomography; pigment epithelial detachment

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