Abstract
Purpose This study aimed to evaluate the short-term outcomes of cataract surgery in patients with a history of idiopathic central serous chorioretinopathy (CSC). Methods This retrospective study included 26 patients with a history of CSC who underwent uncomplicated phacoemulsification and intraocular lens implantation. The best-corrected visual acuity (BCVA) and central foveal thickness (CFT) measured before the surgery were compared with those obtained at mean 3.6 months after the surgery. BCVA outcome was also analyzed in eyes with and without subretinal fluid (SRF). Results The mean logarithm of the minimal angle of resolution BCVA significantly improved from 0.52 ± 0.40 before the surgery to 0.21 ± 0.30 one month after the surgery and 0.20 ± 0.31 at 3.6 months after the surgery (P < 0.001). The mean CFT was 281.2 ± 84.2 μm before the surgery, 301.5 ± 90.7 μm one month after the surgery, and 279.9 ± 83.6 μm at 3.6 months after the surgery. The CFT before surgery was not different from those measured at 3 months (P=0.253). Significant improvement in BCVA at 3.6 months was noted in the SRF group (N = 12, P=0.003) and the non-SRF group (N = 14, P=0.001). CSC recurrence was noted in 2 patients in the non-SRF group. Conclusions Significant improvement in visual acuity was noted after cataract surgery in patients with a history of idiopathic CSC, without a risk of aggravation of CSC in most patients.
Highlights
Central serous chorioretinopathy (CSC) is a disorder that is characterized by a localized accumulation of subretinal fluid (SRF) in the macula due to a leakage from the retinal pigment epithelium (RPE) [1]
best-corrected visual acuity (BCVA) measurement and optical coherence tomography (OCT) examination were performed at 1 month and 3–5 months after the surgery
Regarding CSC treatment, 4 eyes underwent focal laser photocoagulation, 5 eyes underwent intravitreal bevacizumab injection, and one eye underwent both focal laser photocoagulation and bevacizumab injection. e remaining 16 eyes were followed up without treatment. e first episode of CSC completely resolved in 15 eyes (CSC recurred in 5 of them), whereas SRF did not completely resolve until the cataract surgery was performed in 11 eyes
Summary
Central serous chorioretinopathy (CSC) is a disorder that is characterized by a localized accumulation of subretinal fluid (SRF) in the macula due to a leakage from the retinal pigment epithelium (RPE) [1]. E present study aimed to evaluate the short-term outcomes of uncomplicated cataract surgery in patients with a history of idiopathic CSC. Among the patients who had been diagnosed with idiopathic CSC at Kim’s Eye Hospital between January 2011 and September 2019, patients undergoing uncomplicated cataract surgery using phacoemulsification were included. Ophthalmological examinations, including measurement of best-corrected visual acuity (BCVA), 90D lens slit-lamp biomicroscopy, fundus photography, and fluorescein angiography, were performed in all patients. BCVA measurement and OCT examination were performed at 1 month and 3–5 months (mean, 3.6 ± 0.8 months) after the surgery. For all the included eyes, the BCVA and CFT values measured before cataract surgery were compared with those measured at 3.6 months after surgery. P values less than 0.05 were considered statistically significant
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