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

Yıl 2014, , 290 - 293, 01.06.2014

Harun Yüksel Fatih Mehmet Türkcü Muhammed Şahin Zeynep Özkurt Tuba Çınar Abdullah Kürşat Cingu İhsan Çaça

https://doi.org/10.5799/ahinjs.01.2014.02.0405

Öz

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

Anahtar Kelimeler

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

Kaynakça

• Castro-Correia J, Coutinho MF, Rosas V, Maia J. Long- term follow-up of central serous retinopathy in 150 pa- tients. Doc Ophthalmol Adv Ophthalmol 1992;81:379- 386.
• Wang M, Munch IC, Hasler PW, et al. Central se- rous chorioretinopathy. Acta Ophthalmol (Copenh) 2008;86:126-145.
• Yannuzzi LA. Type-A behavior and central serous cho- rioretinopathy. Retina Phila Pa 1987;7:111-131.
• Yalcinbayir O, Gelisken O, Akova-Budak B, et al. Cor- relation of spectral domain optical coherence tomog- raphy findings and visual acuity in central serous cho- rioretinopathy. Retina 2013;34:705-712.
• Nicholson B, Noble J, Forooghian F, Meyerle C. Central serous chorioretinopathy: update on pathophysiology and treatment. Surv Ophthalmol 2013;58:103-126.
• Liew G, Quin G, Gillies M, Fraser-Bell S. Central se- rous chorioretinopathy: a review of epidemiology and pathophysiology. Clin Experiment Ophthalmol 2013;41:201-214.
• Sahin A, Bez Y, Kaya MC, et al. Psychological distress and poor quality of life in patients with central serous chorioretinopathy. Semin Ophthalmol 2014;29:73-76.
• Türkcü FM, Yüksel H, Sahin A, et al. Effects of smoking on visual acuity of central serous chorioretinopathy patients. Cutan Ocul Toxicol 2014;33:115-119.
• Türkcü FM, Yüksel H, Yüksel H, et al. Serum dehy- droepiandrosterone sulphate, total antioxidant ca- pacity, and total oxidant status in central serous cho- rioretinopathy. Graefes Arch Clin Exp Ophthalmol 2014;252:17-21.
• Türkcü FM, Sahin A, Bez Y, et al. Vision-related qual- ity of life in patients with chronic central serous chorio- retinopathy. Semin Ophthalmol 2013 Oct 28; doi:10.3 109/08820538.2013.839818
• Maruko I, Iida T, Ojima A, Sekiryu T. Subretinal dot- like precipitates and yellow material in central serous chorioretinopathy. Retina 2011;31:759-765.
• Nair U, Ganekal S, Soman M, Nair K. Correlation of spectral domain optical coherence tomography find- ings in acute central serous chorioretinopathy with visual acuity. Clin Ophthalmol Auckl NZ 2012;6:1949- 1954.
• Uji A, Murakami T, Nishijima K, et al. Association Be- tween Hyperreflective Foci in the Outer Retina, Status of Photoreceptor Layer, and Visual Acuity in Diabetic Macular Edema. Am J Ophthalmol 2012;153:710-717. e1.
• Shin HJ, Chung H, Kim HC. Association between in- tegrity of foveal photoreceptor layer and visual out- come in retinal vein occlusion. Acta Ophthalmol (Co- penh) 2011;89:e35-e40.
• Shin HJ, Lee SH, Chung H, Kim HC. Association be- tween photoreceptor integrity and visual outcome in diabetic macular edema. Graefes Arch Clin Exp Oph- thalmol 2012;250:61-70.