Clinical-Anatomic Correlation in Central Serous Chorioretinopathy

Conclusion: Although CSC has generally a good course, in cases with frequent recurrences and damage of the outer retinal layer, it might negatively affect the VA.

📌 3 Key Takeaways

🎯

Objective & Hypothesis:Purpose: To investigate the clinical-anatomic correlation in central serous chorioretinopathy (CSC).Material and Methods: Forty-seven eyes of 37 patients were analysed retrospectively.

📊

Key Findings & Data:The correlation of the visual acuity (VA) of the cases was evaluated with the subretinal fluid height, presence of retinal pigment epithelial detachment (PED), outer retinal layer irregularity, recurrence rate and the duration of the last recurrence.Results: The mean age of the cases was 47.2±7.9 .

💡

Conclusion & Impact:Conclusion: Although CSC has generally a good course, in cases with frequent recurrences and damage of the outer retinal layer, it might negatively affect the VA.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Purpose: To investigate the clinical-anatomic correlation in central serous chorioretinopathy (CSC).Material and Methods: Forty-seven eyes of 37 patients were analysed retrospectively. The correlation of the visual acuity (VA) of the cases was evaluated with the subretinal fluid height, presence of retinal pigment epithelial detachment (PED), outer retinal layer irregularity, recurrence rate and the duration of the last recurrence.Results: The mean age of the cases was 47.2±7.9 . The mean VA was found as 0.5 . The mean recurrence rate was 2.3±1.2 . Optical coherence tomography (OCT) revealed PED in 17% and outer retinal layer irregularity in 21.3% of the cases. In 29.8% of the cases there wasn't any subretinal fluid. The mean subretinal fluid height was measured as 170.5 micron (µ). The decreased VA didn't show statistically significant association with the presence of PED and the subretinal fluid height, whereas it showed statistically significant association with the outer retinal layer irregularity, recurrence rate and the duration of the last recurrence. Conclusion: Although CSC has generally a good course, in cases with frequent recurrences and damage of the outer retinal layer, it might negatively affect the VA.

Özet

Amaç: Santral seröz koryoretinopatili (SSKR) olgularda klinik-anatomik ilişkiyi irdelemek.Gereç ve Yöntem: Otuz-yedi SSKR olgusunun 47 gözü retrospektif olarak incelendi. Olguların görme keskinlikleri ile subretinal sıvının yüksekliği, retina pigment epitel dekolmanının (PED) varlığı, dış retina tabakalarındaki düzensizlik, atak sayısı ve son atağın süresi arasındaki ilişki değerlendirildi.Bulgular: Olguların ortalama yaşı 47.2±7.9 idi. Ortalama görme keskinliği 0.5 bulundu. Ortalama atak sayısı 2.3±1.2 , optik koherens tomografide (OKT) PED varlığı %17, dış retina tabaka düzensizliği %21.3 idi. %29.8 olguda subretinal sıvı mevcut değildi. Ortalama subretinal sıvı yüksekliği 170.5 mikron (µ) olarak ölçüldü. PED varlığı ve subretinal sıvı miktarı ile düşük görme keskinliği arasında istatistiksel olarak anlamlı ilişki saptanmazken, dış retina tabakalarındaki düzensizlik, atak sayısı ve son atağın süresi ile düşük görme düzeyi arasında istatistiksel olarak anlamlı ilişki tespit edildi. Sonuç: SSKR, genellikle iyi seyirli bir hastalık olmakla beraber, sık atak geçiren ve dış retina tabakalarında hasar gelişen olgularda görme keskinliğini olumsuz etkileyebilmektedir.

🔖

Cite This Article

ERÇALIK, N. Y., İMAMOĞLU, S., YENEREL, N. M., TÜRKSEVEN, E. K., ARSLAN, G., BARDAK, H., BARDAK, Y. (2016). Clinical-Anatomic Correlation in Central Serous Chorioretinopathy. Retina-Vitreus, Cilt: 24 - Sayı: 3, 223–226. https://ajindex.com/articles/307623

References (13)

Gilbert CM, Owens SL, Smith PD, et al. Long-term follow-up of cent- ral serous chorioretinopathy. Br J Ophthalmol. 1984;68:815-20.
Lu JG, Frieberg TR. Idiopathic central serous retinopathy in China:a re- port of 600 cases (624 eyes) treated by acupuncture. Ophthalmic Surg. 1987;18:608-11. Bujarborua D. Long-term follow up of idiopathic central serous cho- rioretinopathy without laser. Acta Ophthalmol Scand.2001;79:417-21.
Bouzas EA, Karadimas P, Pournaras CJ. Central serous chorioretino- pathy and glucocorticoids. Surv Ophthalmol. 2002;47:431-48.
Lafaut BA, Salati C, Priem H, et al. Indocyanine green angiography is of value for the diagnosis of chronic central serous chorioretinopathy in elderly patients. Graefes Arch Clin Exp Ophthalmol. 1998;236:513-21.
Castro-Correia J, Coutinho MF, Rosas V, et al. Long term follow- up of central serous retinopathy in 150 patients. Doc Ophthalmol. 1992;81:379-86.
Klein ML, Van Buskirk EM, Friedman E, et al. Experience with nontreatment of central serous choroidopathy. Arch Ophthalmol. 1974;91:247-50.
Yannuzzi LA, Shakin JL, Fisher YL, et al. Peripheral retinal detach- ments and retinal pigment epithelial atrophic tracts secondary to central serous pigment epithelyopathy. Ophthalmology. 1984;91:1554-72.
Iida T, Hagimura N, Sato T, et al. Evaluation of central serous cho- rioretinopathy with optical coherence tomography. Am J Ophthalmol. 2000;129:16-20.
Iida T, Yannuzzi LA, Spaide RF et al. Cystoid macular degeneration in chronic central serous retinopathy. Retina. 2003;23:1-7. Gomolin JE. Choroidal neovascularization and central serous choriore- tinopathy. Can J Ophthalmol. 1989;24:20-3.
Montero JA, Ruiz-Moreno JM. Optical coherence tomography charac- terisation of idiopathic central serous chorioretinopathy. Br J Ophthal- mol. 2005;89:562-4. Frederick AR. Multifocal and recurrent (serous) choroidopathy (MARC) syndrome: a new variety of idiopathic central serous choroi- dopathy. Doc Ophthalmol. 1984;56:203-35.
Brancato R, Scialdone A, Pece A, et al. Eight-year follow-up of cent- ral serous chorioretinopathy with and without laser treatment. Graefes Arch Clin Exp Ophthalmol. 1987;225:166-8.
Loo RH, Scott IU, Flynn HW, Jr et al. Factors associated with reduced visual acuity during long-term follow-up of patients with idiopathic central serous chorioretinopathy. Retina. 2002;22:19-24.
Levine R, Bruckner AJ, Robinson F, et al. Long-term follow-up of idi- opathic central serous chorioretinopathy by fluorescein angiography. Op