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Mihoko Suzuki, Fumi Gomi, Miki Sawa, Kohji Nishida; Characteristics of Fundus Angiography and Optical Coherence Tomography in Patients with Focal Choroidal Excavation Complicated by Central Serous Chorioretinopathy. Invest. Ophthalmol. Vis. Sci. 2013;54(15):2804.
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© ARVO (1962-2015); The Authors (2016-present)
To investigate the characteristics of focal choroidal excavation complicated by central serous chorioretinopathy (CSC) using fundus angiography and optical coherence tomography (OCT).
We reviewed the charts of seven eyes of seven patients (5 men, 2 women; mean age, 56.9±9.8 years) with focal choroidal excavation complicated by CSC using fundus angiography and OCT.
In six eyes, the points of fluorescein dye leakage were at the edge of the focal choroidal excavation. Five eyes had hyperfluorescence at the focal choroidal excavation on fundus angiography. All focal choroidal excavation lesions were hypofluorescent on indocyanine green angiography (ICGA). All eyes had late-phase hyperfluorescence on ICGA secondary to choroidal vascular hyperpermeability. Five fellow eyes also had late-phase hyperfluorescence secondary to choroidal vascular hyperpermeability. The mean subfoveal choroidal thicknesses were 339 μm and 306 μm in the fellow eyes, a difference that did not reach significance (P=0.39).
Fundus angiography and OCT showed that focal choroidal excavation might be related to CSC. Retinal pigment epithelial atrophy and choroidal circulatory disruption might include focal choroidal excavation complicated by CSC.
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