Abstract
Aims: To evaluate the optic coherence tomographic (OCT) features in acute central serous chorioretinopathy (ACSC) with time-domain or spectral-domain OCT at Dokuz Eylul University, Department of Ophthalmology, Izmir, Turkey.Subjects and Methods: Clinical data from the Department of Ophthalmology (of Dokuz Eylul University) including fluorescein angiography (FA) and OCT findings of 39 eyes of 34 patients with ACSC were retrospectively analyzed. Eleven eyes (Ntd =11) were examined with time-domain (Stratus OCT 3, Version 4.0) and 28 eyes (Nsd =28) with spectral-domain OCT (Heidelberg HRA2 Spectralis).Results: Of the sample of 34, twenty-four patients (70.6%) were men and 10 women (29.4%). FA demonstrated smokestack type hyperfluorescence in five eyes (12.8%), a round ink blot type hyperfluorescence in 32 eyes (82.1%) and diffuse leak-age in two (5.1%) eyes. Twenty-five eyes (64.1%) had only one leakage site, five eyes (12.8%) hadtwo leakage sites and nine eyes (23.1%) had three or more leakage sites. Detachment of the neurosensory retina was detected in 37 eyes (94.9%, 11 eyes with Stratus OCT and 26 eyes with Spectral OCT). Pigment epithelial detachment (PED) was detected in nine eyes (23.1%, one eye with Stratus OCT and eight eyes with Spectral OCT). Protrusion of the RPE layer was detected in 10 eyes (25.6%, all eyes with Spectral OCT). Both fibrinous exudates and bridging between the neurosensory retina and PED was detected with Spectral OCT in four eyes (10.2%). Retinal dipping was detected with Spectral OCT in two eyes (5.1%).Conclusion: Spectral-domain OCT seems to yield more information and depicts RPE layer protrusion, fibrinous exudates and bridging better when compared to conventional time-domain OCT. (S Afr Optom 2012 71(4) 166-170)
Highlights
Acute central serous chorioretinopathy (ACSC) is a common retinal disease characterized by an idiopathic flat retinal detachment within the macula and often reveals a shallow round and serous detachment of neurosensory retina; small retinal pigment epithelium (RPE) detachment may be present[1, 2]
We focused on the optic coherence tomography (OCT) characteristics of acute central serous chorioretinopathy (ACSC) either with time-domain or spectral-domain OCT to assess which type of OCT yields better information in cases with ASCS
Detachment of neurosensory retina was detected in 37 eyes (94.9%, 11 eyes with Stratus OCT and 26 eyes with Spectral OCT)
Summary
Acute central serous chorioretinopathy (ACSC) is a common retinal disease characterized by an idiopathic flat retinal detachment within the macula and often reveals a shallow round and serous detachment of neurosensory retina; small retinal pigment epithelium (RPE) detachment may be present[1, 2]. Optic coherence tomography (OCT) demonstrates the morphological features of the disease more explicitly[4,5,6,7,8,9]. ACSC can be classified into three types according to the fluid distribution morphology. In Type I, fluid accumulates underneath the neurosensory retina, in Type II fluid pools under the RPE layer and in Type III fluid may accumulate both underneath the neurosensory retina and RPE2, 10. In this retrospective study, we focused on the OCT characteristics of ACSC either with time-domain or spectral-domain OCT to assess which type of OCT yields better information in cases with ASCS
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
