Abstract

Retromode scanning laser ophthalmoscopy (RM-SLO) is a method for visualizing retinal alterations that has a potential to be used in patients with central serous chorioretinopathy (CSC). In RM-SLO, the scattered light that passes a deviated aperture gives a shadow to the interfaces of the eye tissues and media or irregularities of the natural surfaces of the structures of the eye fundus. RM-SLO can be applied to the entire spectrum of CSC forms from subclinical pachychoroid pigment epitheliopathy to diffuse pigment epitheliopathy or complicated chronic cases demonstrating retinal pigment epithelium (RPE) abnormalities, neuroepithelium detachments, accumulation of intraretinal fluid, and choroidal neovascularization. This allows for precise diagnosis of CSC, differentiating CSC from other retinal disorders, and evaluation of spatial relationships between RPE/neuroepithelium changes and leakage site. Therefore, RM-SLO is useful ancillary testing for fundus examination that represents a noninvasive, simple, and fast-imaging option for clinical and investigative applications in CSC.

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