Spectral domain optical coherence tomography findings of the patients with central serous chorioretinopathy

Abstract

Objectives: In this study, optical coherence tomography (OCT) findings of the patients with a diagnosis of acute or chronic central serous chorioretinopathy (CSCR) were investigated. Methods: Patients with symptoms and signs longer than 3 months were considered as chronic CSCR. OCT findings of acute and chronic CSCR were recorded at admission. Between the groups, following parameters were compared; visual acuity, hyper reflective dots (HRD), subretinal fluid height (SFH) presence of pigment epithelial detachment (PED), status of photoreceptor inner-outer segment (IS/OS) line. Results: When acute and chronic patients evaluated separately, in acute patients accompanied by PED had lower visual acuity and higher SRF height. In patients with chronic CSCR subretinal fluid of patients with PED was greater than the others however there were no statistically significant differences in visual acuity. Presence of HRD had no effect on the average visual acuity SRF height in patients with acute and chronic CSCR. Also IS/OS line integrity had no effect in visual acuity of the patients in our study. Conclusion: Between the groups there was no difference in terms of IS/OS line distortion, presence of HRD, PED. Height of SRF in patients with PED was higher in both groups. In addition, in acute patients with PED visual acuity was also found to be lower. J Clin Exp Invest 2014; 5 (2): 290-293

Keywords

• serous chorioretinopathy, optical coherence tomography, pigment epithelial detachment, hyper reflective dots

Santral seröz koryoretinopatili olguların spektral domain optik koherens tomografi bulguları

Öz

Amaç: Bu çalışmada Santral Seröz Koryoretinopati (SSKR) tanısı alan olgular, akut veya kronik hastalık durumuna ve Optik Koherens Tomografi (OKT) bulgularına göre karşılaştırılmıştır. Yöntemler: 3 aydan uzun süreli semptom ve bulguları olan hastalar kronik SSKR kronik olarak kabul edildi. Akut ve kronik SSKR hastalarının başvuru anındaki OKT bulguları kaydedildi. Gruplar, görme keskinliği, Hiperreflektif noktalar (HRN), subretinal sıvı (SRS), pigment epitel dekolmanı (PED) gibi OKT bulguları açısından karşılaştırıldı. Bulgular: Akut ve kronik hastalar ayrı ayrı değerlendirildiğinde PED\'in eşlik ettiği akut SSKR olgularının görme keskinliği daha düşük subretinal sıvı yükseklikleri daha yüksek olduğu saptandı. Kronik hastalarda ise PED olan olguların subretinal sıvı yükseklikleri daha fazla iken görme keskinliklerinde istatistiksel anlamlı bir fark bulunmadı. HRN varlığının akut ve kronik hastalarda görme keskinliği ve sıvı yüksekliğine ortalamasına etkisi olmadığı görülmüştür. İç segment dış segment bileşkesi (IS/OS) bandında bozulma olan hastaların görme keskinlikleri diğer hastalardan farklı bulunmadı. Sonuçlar: Sonuç olarak bu çalışmada gruplar arasında IS/OS bandında bozulma, HRN ve PED varlığı açısından fark saptanmadı. PED olan hastalarda subretinal sıvı yüksekliği iki grupta da daha yüksek bulundu. Ayrıca PED olan akut hastalarda görme keskinliği de daha düşük saptandı.

Anahtar Kelimeler

• Santral seröz koryoretinopati, optik koherens tomografi, pigment epitel dekolmanı, hiperreflektif noktalar

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