Akut Santral Seröz Koryoretinopatide Dış Retinal Tabakaların Morfolojik Değişiminin Spektral Domain Optik Koherens Tomografi ile Değerlendirilmesi

Öz

Amaç: Akut santral seröz koryoretinopatide SSRP , eksternal limitan membran ELM , fotoreseptör iç ve dış segment bileşkesi ve ayrılan retinadaki granüler fırçamsı kenar görünümünü değerlendirmek.Gereç ve Yöntemler: Optik koherens tomografi OKT ile yapılan ölçümlerde fovea merkezi santral alınarak 1000 µm uzunluğundaki bölgede; ELM altında kalan retina alanı ile fotoreseptör iç ve dış segment bandı altındaki en fazla kalınlık ölçümü ilk başvuruda, üçüncü ve altıncı ayda değerlendirildi. Bulgular: Fotoreseptör iç ve dış segment bandı altındaki kalınlık ile ELM altında kalan alan ölçümlerinde başlangıç ve üçüncü ay arasında istatistiksel olarak anlamlı fark görülmezken, üçüncü ay ile altıncı ay arasında anlamlı artış olduğu görüldü. Sonuç: Akut SSRP hastalarında ayrılan retinadaki fırçamsı kenar görünümü, fotoreseptör iç ve dış segment bandı altındaki kalınlık ve ELM altındaki alan eğer retina tekrar yapışmazsa üçüncü aydan sonra artış göstermektedir

Anahtar Kelimeler

• Fırçamsı kenar, Santral seröz koryoretinopati, Granüler görünüm, Fotoreseptör

Morphological Changes of Outer Retinal Layers in Acute Central Serous Chorioretinopathy Evaluated by Spectral Domain Optical Coherence Tomography

Abstract

Objective: To evaluate changes in thickness beyond the external limiting membrane ELM and the photoreceptor inner and outer segment junction IS/OS in patients with acute central serous chorioretinopathy CSC and a granular brush border appearance of a detached posterior retina.Material and Methods: The retinal area below the ELM at a 1,000 µm diameter zone centered on the fovea, and the greatest thickness below the IS/OS band in this area was measured by optical coherence tomography OCT at baseline, as well as at the 3- and 6-month visits.Results: Sub-IS/OS thickness and the sub-ELM area did not differ statistically between baseline and month 3; however, they significantly increased from month 3 to month 6.Conclusion: In patients with CSC and a brush appearance of the posterior border of the detached retina, sub-IS/OS thickness and sub-ELM area increased after 3 months if the retina was not reattached

Keywords

• Brush border, Central serous chorioretinopathy, Granular appearance, IS/OS, ELM

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