First Author: A.Chronopoulos UK
Co Author(s): J. Ong D. Newman
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Analysis of optical coherence tomography (OCT) findings in different subtypes of central serous chorioretinopathy (CSR)
1 Department of Ophthalmology, Addenbrookes Hospital, Cambridge University Hospital NHS Foundation Trust, Cambridge, UK. 2 Ophthalmology Service, University Hospitals and School of Medicine, Geneva, Switzerland
Retrospective analysis of presence and morphology of pigment epithelial detachment (PED) identified on OCT imaging was performed on 49 patients (50 eyes) with acute, chronic and recurrent CSR presenting in two centres
There were 14 eyes with acute CSR, 32 eyes with chronic CSR and 4 eyes with recurrent CSR. All cases demonstrated a characteristic macular neurosensory detachment on OCT imaging. The presence and morphology of PEDs among the CSR subtypes was as follows: acute CSR - no PED 10 (71%), flat PED 3 (21%), dome shaped PED 1 (7%); chronic CSR - no PED 5 (16%), flat PED 22 (69%), dome shaped PED 5 (16%); recurrent CSR - no PED 1 (25%), flat PED 1 (25%), dome shaped PED 2 (50%). The incidence of PED (flat or dome-shaped) was significantly greater in chronic and recurrent CSR compared to acute CSR (p=0.001).
The presence of a PED (flat or dome-shaped, particularly flat irregular) is associated with chronicity of CSR. This may be a useful indicator for cases that are unlikely to resolve spontaneously and might benefit from intervention (e.g. photodynamic therapy).