Abstract
In the chronic form of central serous chorioretinopathy (CSC), such a complication as the development of a neovascular membrane occurs, which requires a fundamentally different therapeutic approach. In this case, the correct diagnosis is very important. Purpose. To determine the value of the method of optical coherence tomography with angiography mode (OCTA) in the detection of neovascular process in CSC. Material and methods. The data of 29 patients (34 eyes) with acute (16 eyes) and chronic (18 eyes) forms of CSC were analyzed; we assessed best corrected visual acuity (BCVA), perimetry – the presence of scotoma, the presence of exudative detachment of neuroepithelium and retinal pigment epithelium (RPE) the presence or absence of newly formed vessels in the area of RPE detachment, the thickness and total volume of the retina in the macula. Results. According to the results of examinations, BCVA averaged 0.7 ± 0.1, relative scotomas were detected in 10 cases, retinal thickness averaged 306±18 µm, retinal volume 7.18 ± 0.5 mm3. In the chronic form of CSC, neovascularization under RPE was detected in 4 cases, which amounted to 22.2 %. Conclusion. OCT angiography makes it possible to detect the neovascular membrane, which determines the choice of treatment for CSC. Keywords: central serous chorioretinopathy, neovascular membrane, OCT angiography.
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