June 2015
Volume 56, Issue 7
Free
ARVO Annual Meeting Abstract  |   June 2015
Flat irregular pigment epithelium detachment in chronic central serous chorioretinopathy
Author Affiliations & Notes
  • Rabih Hage
    Ophtalmologie, Hopital Lariboisière, Paris, France
  • Sarah Mrejen
    Centre Hospitalier 15-20, Paris, France
  • Elise Philippakis
    Ophtalmologie, Hopital Lariboisière, Paris, France
  • Ramin Tadayoni
    Ophtalmologie, Hopital Lariboisière, Paris, France
  • Alain Gaudric
    Ophtalmologie, Hopital Lariboisière, Paris, France
  • Footnotes
    Commercial Relationships Rabih Hage, None; Sarah Mrejen, None; Elise Philippakis, None; Ramin Tadayoni, None; Alain Gaudric, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science June 2015, Vol.56, 3731. doi:
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    • Get Citation

      Rabih Hage, Sarah Mrejen, Elise Philippakis, Ramin Tadayoni, Alain Gaudric; Flat irregular pigment epithelium detachment in chronic central serous chorioretinopathy. Invest. Ophthalmol. Vis. Sci. 2015;56(7 ):3731.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract
 
Purpose
 

The aim of this study was to determine the incidence of Flat Irregular Pigment Epithelium Detachment (FI PED) in patients with Chronic Central Serous Choroidopathy (CSC) and its possible association with Type 1 Choroidal New vessels (CNV)

 
Methods
 

Retrospective study of 110 patients with chronic CSC, examined using Fundus Autofluorescence (FAF), Indocyanine Green Angiography (ICGA) and Spectral domain OCT (SDOCT) at least once during their follow-up. The records of the 39 patients who presented a FI PED (54 eyes) were analyzed. The diagnosis of CNV or polypoidal choroidal vasculopathy (PCV) was based on the presence of sub or intraretinal hemorrhages, hard exudation, and multimodal macular imaging including early and late frames of SLO ICGA.

 
Results
 

The mean patient age was 58.3 years, 74.4% were males, a serous retinal detachment (SRD) was present in the 54 eyes and the choroidal thickness was increased in all cases. FI PED was bilateral in 38.5% of eyes. In 42/54 eyes, FI PED was subfoveal, and it was extrafoveal in 12 cases. In 43/54 eyes, FI PED remained stable for many years without lesion extent (mean symptom duration: 15 years) or was not complicated or did not respond to a trial of anti-VEGF treatment. Eleven eyes with FI PED presented with additional characteristic findings or were highly suspected of type 1 CNV (8) or PCV (3) during their follow-up. In 8/11 cases, early frames of SLO ICGA showed the abnormal pattern of the CNV network. On ICGA, the late hyperfluorescence was less specific of CNV since it was also present in FI PED not suspected of neovascularization.

 
Conclusions
 

Flat irregular PED was frequently observed in a series of chronic CSC patients. It was caused by type 1 CNV, associated or not with PCV in only 20% of cases. The remaining 80% of cases had no complication during the follow-up. We can assume that these cases were not CNV or at least not active CNV and that they did not need a specific treatment. However, we cannot rule out a possible future evolution towards CNV with such a clinical picture.  

 

 
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