Posterior cystoid retinal degeneration in central serous chorioretinopathy
Autor: | Roberta Rigault De La Longrais, Marilisa Manea, Simonetta Cicinelli, Felice Cardillo Piccolino |
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Rok vydání: | 2008 |
Předmět: |
Retinal degeneration
Adult Male medicine.medical_specialty Visual acuity genetic structures Posterior pole Visual Acuity Macular Edema chemistry.chemical_compound Retinal Diseases Foveal Ophthalmology Medicine Humans Fluorescein Angiography skin and connective tissue diseases Pigment Epithelium of Eye Aged Retrospective Studies Retina Retinal pigment epithelium business.industry Retinal Degeneration Retinal General Medicine Choroid Diseases Exudates and Transudates Middle Aged medicine.disease eye diseases medicine.anatomical_structure chemistry Chronic Disease Female sense organs Choroid medicine.symptom Atrophy business Tomography Optical Coherence |
Zdroj: | Retina (Philadelphia, Pa.). 28(7) |
ISSN: | 0275-004X |
Popis: | PURPOSE To study the pattern of cystoid retinal changes in the posterior fundi of eyes with chronic central serous chorioretinopathy (CSC) using optical coherence tomography (OCT). METHODS We retrospectively studied 34 eyes with chronic CSC and cystoid retinal changes at the posterior pole documented by OCT. We analyzed the distribution of cystoid retinal changes with respect to the fovea and chorioretinal lesions. RESULTS Generally, cystoid retinal changes occurred in the papillomacular region (21 eyes); foveal involvement was observed in 20 eyes. Large cystoid changes in the central macula with concentric perifoveal lesion extension were detected in three eyes. Cystoid changes tended to occur where the retina adhered to subretinal fibrosis, large laser scars, or spontaneous atrophy of the retinal pigment epithelium and the choroid. Visual acuity ranged from 20/20 to 20/400. In nine eyes in which the cystoid changes spared the foveal center, visual acuity was 20/40 or better. CONCLUSION Cystoid retinal degeneration in eyes with chronic CSC was distributed outside of the fovea and was not necessarily associated with severely reduced visual acuity. "Posterior cystoid retinal degeneration" defines this pathologic pattern appropriately. OCT findings suggest that intraretinal exudation and cystoid changes in chronic CSC develop through the formation of chorioretinal adherences. |
Databáze: | OpenAIRE |
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