First Author: A.Tomi ROMANIA
Co Author(s): A. Moldoveanu A. Bratosin I. Marin I. Mocanu
Purpose:
To describe a multitude of angiographic aspects observed in patients diagnosed with CSC and to compare data with known literature.
Setting:
Retrospective study at the Ophthalmology Emergency Hospital, in Bucharest, from 2005 to 2011.
Methods:
A group of 119 patients were examined clinically, by OCT and by fluorescein angiography (FA) over a period of 6 years. A number of 6 patients needed repeated angiograms over time due to recurrences of the disease. FA studies were done and interpreted by the same physician. OCT was used to reveal subretinal fluid and for follow-up.
Results:
The data regarding the sex and age prevalence of CSC were similar to those found in literature. We were able to observe 88 male patients (73.94%) and 31 female patients (23.06%). The mean age at onset was 41,5 years for males and 43,4 years for females.
Numerous various aspects were found at FA. Typical cases of acute CSC that revealed one or several expanding points of fluorescein leakage, usually located in the supero-nasal quadrant represented about 68 % of patients. The rest presented particular forms of bilateral disease, cases with a chronic evolution (" diffuse retinal pigment epitheliopathy" ) and situations where CSC was associated with other retinal lesions.
Conclusions:
1)Although most of the time it is obvious at clinical examination, the diagnosis of CSC, (young male, central detachment of neurosensory retina) can be certified only by FA. FA reveals the leakage points and the slow filling of the subretinal space. 2) Chronic CSC and atypical cases, in which the serous detachment of the neurosensory retina is associated with cystoid macular edema, retinal pigment epithelial detachment or CNV, represent a particular aspect that generates difficulties with the differential diagnosis. FINANCIAL DISCLOSURE?: No
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