Santral Seröz Koryoretinopati Hastalarında Multimodal Görüntüleme

Özet

Amaç: Santral seröz koryoretinopati hastalarında maküla ve koroid kalınlığının optik koherans tomografi, floresein anjiyografi ve fundus otofloresans ile multimodal incelenmesi. Gereç ve Yöntem: Çalışmaya 44 hastanın 88 gözü alındı. Hastalar 4 gruba ayrıldı. Grup I’de inaktif santral seröz koryoretinopatili gözler (n=14), Grup II’ye akut ve kronik santral seröz koryoretinopatili gözler (n=30), Grup III’e Grup I ve Grup II’deki hastaların sağlam olan diğer gözleri (n=44), Grup IV’e santral seröz koryoretinopati tanısı olmayan sağlıklı bireylerin gözleri (n=32) kontrol grubu olarak dahil edildi. Aksiyel uzunluk, merkezi maküla kalınlığı, subfoveal koroid kalınlığı, peripapiller koroid kalınlığı ölçümleri ve hastaların floresein anjiyografi ve fundus otofloresans görüntü özellikleri incelendi. Bulgular: Grup II’de merkezi maküla kalınlığı ve subfoveal koroid kalınlığı değerlerinin tüm kadranlarda diğer gruplardan daha yüksek olduğu görüldü (p

Abstract

Objective: This study aims to assess the multimodal imaging of macula and choroidal thickness with optical coherence tomography, fluorescein angiography and fundus autofluorescence in patients with central serous chorioretinopathy. Material and Method: Eighty-eight eyes of 44 patients were included in the study. The patients were divided into 4 groups. Group I consists of eyes with inactive central serous chorioretinopathy, acute and chronic central serous chorioretinopathic eyes were included in Group II, Group III included the other healthy eyes of patients in Group I and Group II, and the eyes of healthy individuals without cent ral serous chorioretinopathic diagnosis in Group IV were included as control groups. Axial length, central macular thickness, subfoveal choroidal thickness, peripapillary choroidal thickness measurements and fluorescein angiography, fundus autofluorescence image features were examined. Results: Central macular thickness and subfoveal choroidal thickness values were found to be higher on all quadrants than in other groups in Group II. Mean subfoveal choroidal thickness values in eyes with inactive central serous chorioretinopathy were higher in all quadrants than the healthy control group. In all groups, there was a significant positive correlation between central macular thickness and subfoveal choroidal thickness values, and a significant negative correlation between axial length and subfoveal choroidal thickness values. In Group II, 16 ink-blot signs were observed in fluorescein angiography images in the affected eyes. In fundus autofluorescence imaging, granular pattern of hyperotofluorescence was observed in 12 eyes in Group I. Conclusion: The use of multimodal imaging methods can provide the physician with a better follow-up by providing comprehensive information about the diagnosis of the disease and its changes over time.