Abstract:
To evaluate the incidence of pigment epithelial detachment (PED) and serous retinal detachment (SRD) seen on optical coherence tomography (OCT) in central serous chorioretinopathy (CSC).
Forty–five eyes of 45 patients with CSC were evaluated with a history, ophthalmic examination and OCT. Thirty patients also underwent fluorescein angiography (FA). A retrospective case review was performed to investigate OCT findings in CSC.
The forty–five patients included 14 women and 31 men with a mean age of 47.4 years (range, 25–76 years). Thirty–three eyes (73%) had SRD as seen on OCT, only one of which was seen on FA. Twenty eyes (44%) had OCT findings consistent with PED, while only 2 eyes had a characteristic PED on FA. Nine eyes (20%) had both SRD and PED on OCT. One eye had a clinical SRD that was not detected by OCT.
OCT is a useful diagnostic tool for evaluating CSC. We found that subclinical SRD and PED are relatively common findings in CSC. Defining characteristic OCT findings in CSC will assist in making the diagnosis and determining the prognosis of this disease.
Keywords: imaging methods (CT, FA, ICG, MRI, OCT, RTA, SLO, ultrasound) • retinal pigment epithelium • retinal detachment