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Sub retinal track in cases of large non resolving central serous retinopathy (CSR)

Session Details

Session Title: Quick Fire Free Paper Session 03

Session Date/Time: Sunday 29/09/2013 | 08:30-09:30

Paper Time: 09:35

Venue: Hall C (Level 1)

First Author: A.Sharma INDIA

Co Author(s):    J. Sheth   M. R.J.   N. Vidhya   S. Sundaramoorthy     

Abstract Details

Purpose:

Spectral domain optical coherence tomography (SD-OCT) has been very useful in demonstrating certain key features of central serous retinopathy (CSR) such as intraretinal deposits, outer photoreceptor segment shedding, thicker choroid, Retinal Pigment Epithelial (RPE) tears and in some case RPE leak corresponding to Fundus Fluorescein Angiography (FFA) leak. To the best of our knowledge none of the reports in the literature has demonstrated the subretinal tracks through which fluid travels and causes neurosensory detachment. Purpose of this paper is to demonstrate subretinal tracks as a potential cause of Non Resolving CSR

Setting:

Lotus Eye Care Hospital, Coimbatore, TN, India

Methods:

SD-OCT in 3 dimentional mode was performed at the area of leak demonstrated by FFA in four cases of non resolving CSR.

Results:

All four eyes showed sub retinal tracks along with pigment epithelial detachment (PED) noticed in three eyes adjacent to the track hole. These tracks found to be extended beyond the leakage.

Conclusions:

This finding adds another key feature revealed by SD-OCT which might be able to shed some light on the pathogenesis and changes in the fluid content overtime in the process of physiological resolution of CSR. These tracks could be one of the major causes of large and non resolving CSR and can be of potential target of laser therapy for the management.

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