Однолетние исходы лечения центральной серозной хориоретинопатии

Abstract

Purpose. To study 1 year follow-up of central serous chorioretinopathy (CSC) based on the new multimodal imaging-based classification and identify the predictors for anatomic and visual outcome. Methods. Retrospective, study on 95 eyes diagnosed with CSCR and a follow up of at least 12 months were included. All eye received multimodal imaging, including color fundus photography, optical coherence tomography, and fundus autofluorescence. Results. At the baseline, observation was advised to 70 % eyes with simple CSCR whereas photodynamic therapy (PDT) was performed in 49 % eyes with complex CSCR. Over the follow up, decrease in central retinal thickness (CRT) was significantly higher in simple CSCR as compared to complex CSCR (P = 0.008) and the recurrences were significantly more in eyes with lower CRT at baseline (P = 0.0002). Multiple regression model showed baseline best corrected visual acuity (BCVA) and baseline SRF were significantly associated with final BCVA and SRF at one year (P < 0.05). Conclusions. Complex CSCR more often required PDT and requires for longer time for SRF resolution. Baseline BCVA and SRF were associated with one-year outcomes. Keywords: central serous chorioretinopathy, classification, optical coherence tomography, multimodal imaging; retina