Optical Coherence Tomographic Patterns of Central Serous Chorioretinopathy

Yıl 2013, Cilt: 18 Sayı: 1, 39 - 43, 01.02.2013

Burak Turgut İrfan Ergen

Öz

Objective: To investigate optical coherence tomographic (OCT) findings and patterns in the patients with central serous chorioretinopathy (CSCR). Materials and Methods: Optical coherence tomographic findings of 44 cases with CSCR whose diagnosed on clinical findings and fundus florescein angiography in the retina section of our clinic were evaluated retrospectively, and were commented. Results: The ages of the patients were between 20 and 52, while the mean age was 32.4 years. 12 (24%) of the patients were female and 32 (76%) of them were male. OCT imaging revealed that there were alone retina pigment epithelium detachment (RPED) in four cases (9.09%), retina pigment epithelium irregularities in macular area in four cases (9.09%), serous macular detachment (SMD) in eighteen cases (40.09%), SMD with RPED in six cases (13.63%), brush-border pattern in ten cases (22.72%), dipping pattern in two cases (4.54%) and cystoid macular edema with SMD in two cases (4.54%). Any angiographic and optical coherence tomographic finding concerning choroidal neovascularization was not detected in none of eyes. Conclusion: Numerous descriptive findings or patterns belonging to acute and chronic stages of disease may be observed in the patients with CSCR. OCT may be give useful informations both for the diagnosis of disease and the prediction as well as the evaluation of the response to treatment.

Anahtar Kelimeler

Central serous chorioretinopathy, optical coherence tomography, finding, pattern.

Santral Seröz Koryoretinopatinin Optik Koherens Tomografik Paternleri

Öz

Amaç: Santral seröz koryoretinopati (SSKR)'li hastalarda optik koherens tomografi (OKT) bulgu ve paternlerini saptamak. Gereç ve Yöntem: Kliniğimiz retina biriminde klinik bulgu ve fundus floresan anjiyografi ile tanı konularak takip edilen 44 SSKR hastasının 44 gözüne ait OKT bulguları geriye dönük olarak incelendi. Bulgular: Hastaların yaşları 20 ile 52 arasında değişmekte olup yaş ortalamaları 32.4 yıl idi. Hastaların 12'i (%24) kadın, 32'sı (%76) erkekti. OKT incelemelerinde 4 olguda (%9.09) sadece retina pigment epitel dekolmanı (RPED), 4 olguda (%9.09) makula içerisinde retina pigment epiteli (RPE) düzensizlikleri, 18 olguda (%40.09) seröz makula dekolmanı (SMD), 6 olguda (%13.63) SMD ile birlikte RPED, 10 olguda (%22.72) fırçamsı kenar paterni, 2 olguda (%4.54) çadır paterni ve 2 olguda (%4.54) kistoid makula ödemi ile birlikte SMD izlendi. Hiçbir gözde koroidal neovaskülarizasyona ait anjiyografi ve OKT bulgusu saptanmadı. Sonuç: SSKR'li hastalarda akut ve kronik evrelere ait birçok tanımlayıcı OKT bulgu ve paterni izlenebilmektedir. OKT hem hastalığın tanısında hem de tedaviye cevabın öngörülmesi ve değerlendirilmesinde faydalı bilgiler verebilir.

Anahtar Kelimeler

Santral seröz koryoretinopati, optik koherens tomografi, Bulgu, Patern.

Kaynakça

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