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Y. Kon, T. Iida, M. Saito, I. Maruko, S. Tetsuju; Three Dimentional Optical Coherence Tomographic Featurea of Central Serous Chorioretinopathy . Invest. Ophthalmol. Vis. Sci. 2005;46(13):2562.
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© ARVO (1962-2015); The Authors (2016-present)
PURPOSE: The OCT Ophthalmoscope is a new device which provides high resolution cross sectional (longitudinal, B–scan) and coronal (transversal, C–scan) images of the posterior fundus. To clarify the pathologic changes of the detached neurosensory retina in central serous chorioretinopathy, we examined patients with OCT Ophthalmoscope. METHODS: Using OCT Ophthalmoscope, we prospectively examined 43 consecutive eyes (38 patients; 26 men, 12 women) with central serous chorioretinopathy. The ages ranged from 28 to 82 years, average 53 years. All patients had serous retinal detachment in the macular area. In 21 of the 43 eyes, slit–lamp examination with a fundus lens demonstrated multiple yellowish dotlike precipitates in the area of the neurosensory retinal detachment. RESULTS: OCT Ophthalmoscope clearly demonstrated the configuration of the detached neurosensory retina and the retinal pigment epithelium (RPE). B–scan and C–scan revealed multiple bright dots corresponding to the yellowish dotlike precipitates in 20 of the 43 eyes. The bright dots are seen on the posterior surface of the detached neurosensory retina in all 20 eyes. In 14 of the 20 eyes, OCT Ophthalmoscope also demonstrated intraretinal location of the bright dots. Six of the 14 eyes had also bright dots on the RPE. Intraretinal bright dots are observed in the outer plexiform layer and the outer nuclear layer of the retina. Conclusions: OCT Ophthalmoscope demonstrated subretinal and/or intraretinal location of the bright dots in eyes with central serous chorioretinopathy. These findings suggest that yellowish dotlike precipitates are situated not only on the posterior surface of the neurosensory retina but also in the detached neurosensory retina and on the RPE.
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