Purpose
To noninvasively describe the features of retinal and choroidal vascular changes in elderly patients with central serous chorioretinopathy (CSC) with Optical Coherence Tomography Angiography (OCTA).
Methods
Cross-sectional, observational study of 10 patients between 55 and 64 years of age with central serous chorioretinopathy. OCTA was performed on 3x3 and 6x6 mm area centered on the fovea. The 3D angiography was segmented in 4 layers: superficial and deep (to show retinal vasculature), outer retina (to identify Choroidal neovascularization) and chorio-capillary.
Results
Serous retinal detachment was clearly visualized by OCTA in 10 eyes of 10 patients with CSC. A thin Pigment epithelial detachment (PED), that is difficult to identify with conventional images modalities, was identified in 10 eyes of 10 patients. In 4 patients OCTA detected a distinct choroidal neovascular pattern in chorio-capillary.
Conclusions
According to PED morphology in CSC, OCTA allows to detect associated CNV, previously undiagnosed by conventional imaging modalities.