Evaluation of central serous chorioretinopathy with optical coherence tomography☆
Section snippets
Patients and methods
We conducted a prospective study in 23 eyes of 23 consecutive patients (19 men, four women) with acute central serous chorioretinopathy within 8 weeks of the onset of subjective symptoms. All 23 patients had a serous retinal detachment that involved the center of the fovea; fluorescein angiography showed dye leakage from the retinal pigment epithelium. The patients’ ages ranged from 29 to 60 years (mean ± SD, 46.0 ± 8.1 years). In all 23 eyes, the optical coherence tomography images obtained
Results
Optical coherence tomography clearly demonstrated the configuration of the detached neurosensory retina and the retinal pigment epithelium. In all 23 eyes, the retinal detachment involved the center of the fovea. The subretinal space appeared to be optically clear. In the acute phase, the detached retina was thicker than the adjacent attached retina at the border of the serous retinal detachment in all 23 eyes (Figure 1, top left and right). Although areas of low reflectivity were seen in 18
Discussion
Optical coherence tomography showed that the retina was thickened where it was detached from the retinal pigment epithelium in all 23 eyes with central serous chorioretinopathy. The retinal thickness returned to normal when the subretinal fluid was absorbed. The detached retina showed intraretinal areas of low reflectivity in 18 of the 23 eyes. These tomographic features suggested that the detached retina swells in central serous chorioretinopathy. Slit-lamp examination with a fundus lens
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This work was supported by grants from the Ministry of Education, Science, and Culture of Japan, Tokyo, Japan.