First Author: F.Ghanchi UK
Co Author(s): Z. Madanat
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To describe visual acuity (VA) and retinal phenotypes on multimodal images in patients with CSCR at baseline and correlate with visual function.
Retina clinics in a large secondary care hospital in England.
Patients with CSCR seen in clinic between January 2014 and October 2015 were included if Spectralis OCT and retinal angiography images were available at baseline. In addition to qualitative data on presence of sub and intraretinal fluid, data was collected on width and height of subretinal fluid (SRF), pigment epithelial detachment (PED) and outer photoreceptor segment (OS) measured manually on the OCT scans. FFA images were also reviewed and lesion types were correlated with VA at the baseline.
21 patients with mean age of 50 were included in the study. VA in the affected eye ranged from 4/60 to 6/6. 2 patients with associated intraretinal fluid on OCT had the worst vision. There was no correlation between SRF, PED and OS measurements and visual acuity. There was no correlation between FFA lesion type and VA. ICG aided identification of IPCV, but this was not correlated with VA. 11 patients had RPE changes in their other eye.
CSCR patients present with varied retinal phenotypes on multimodal imaging. The baseline measurements of SRF, PED or OS on OCT do not correlate with visual acuity. Presence of IRF is associated with a worse visual acuity.