June 2017
Volume 58, Issue 8
Open Access
ARVO Annual Meeting Abstract  |   June 2017
Elevated Choroidal Thickness and Central Serous Chorioretinopathy in the Fellow Eye of Patients with Circumscribed Choroidal Hemangioma
Author Affiliations & Notes
  • Daniel Gologorsky
    Bascom Palmer Eye Institute, Miami, Florida, United States
  • Rishabh Jain
    Retina Consultants of Houston, Houston, Texas, United States
  • David M Brown
    Retina Consultants of Houston, Houston, Texas, United States
    Blanton Eye Institute , Houston Methodist Hospital, Houston, Texas, United States
  • Maria Eugene Bretana
    Retina Consultants of Houston, Houston, Texas, United States
  • Eric Kegley
    Retina Consultants of Houston, Houston, Texas, United States
  • Michael Singer
    Medical Center Ophthalmology Associates, San Antonio, Texas, United States
  • Amy C Schefler
    Retina Consultants of Houston, Houston, Texas, United States
    Blanton Eye Institute , Houston Methodist Hospital, Houston, Texas, United States
  • Footnotes
    Commercial Relationships   Daniel Gologorsky, None; Rishabh Jain, None; David Brown, None; Maria Bretana, None; Eric Kegley, None; Michael Singer, None; Amy Schefler, Genentech (F), Regeneron (F)
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2017, Vol.58, 1784. doi:
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to Subscribers Only
      Sign In or Create an Account ×
    • Get Citation

      Daniel Gologorsky, Rishabh Jain, David M Brown, Maria Eugene Bretana, Eric Kegley, Michael Singer, Amy C Schefler; Elevated Choroidal Thickness and Central Serous Chorioretinopathy in the Fellow Eye of Patients with Circumscribed Choroidal Hemangioma. Invest. Ophthalmol. Vis. Sci. 2017;58(8):1784.

      Download citation file:


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

      ×
  • Supplements
Abstract

Purpose : To determine if an association exists between increased choroidal thickness and the occurrence of circumscribed choroidal hemangioma (CCH), and to determine if patients with CCH have a predisposition for central serous chorioretinopathy (CSR).

Methods : This is a retrospective, consecutive observational study. 15 fellow eyes of 15 consecutive CCH patients were compared to control data from a previously published age-based normative database of choroidal thickness. A chart review of A scan and B scan ultrasonography, Fluorescein Angiography (FA), and Optical Coherence Tomography (OCT) findings were performed to confirm the diagnosis of CCH in each patient. Fellow eye choroidal thickness was measured using Enhanced Depth Imaging Optical Coherence Tomography (EDI-OCT). OCT images of fellow eyes were reviewed for signs of CSR.

Results :
The mean subfoveal choroidal thickness was significantly greater in the fellow eyes of patients with CCH than in age-matched normal eyes (p = 0.004). Three of 15 (20.0%) fellow eyes of CCH patients had retinal pigment epithelial disruptions and/or detachments indicative of previously asymptomatic CSR.

Conclusions :
In this pilot study, elevated choroidal thickness was associated with the risk of developing CCH as well as CSR in patients of varying ages. Patients diagnosed with CCH should be screened for CSR in the fellow eye. Further exploration of this association may reveal useful clues regarding the relationship between abnormally increased choroidal thickness and choroidal vascular hyperpermeability and their various clinical manifestations.

This is an abstract that was submitted for the 2017 ARVO Annual Meeting, held in Baltimore, MD, May 7-11, 2017.

×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×