ROLE OF OPTICAL COHERENCE TOMOGRAPHY IN DIAGNOSIS AND MANAGEMENT OF CENTRAL SEROUS RETINOPATHY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 36
Abstract
BACKGROUND Central serous retinopathy typically affects young and middle-aged males in their third to fifth decades. Patients usually develop serous detachment of RPE in macular or paramacular area followed by serous detachment of the overlying and surrounding retina. In the present study, central serous retinopathy is diagnosed and followed up with the help of optical coherence tomography and the importance of use of optical coherence tomography as a primary diagnostic tool has been highlighted. MATERIALS AND METHODS A total of 50 eyes of 50 patients with a clinical diagnosis of central serous retinopathy were evaluated with spectral domain optical coherence tomography. After detailed ocular examination, optical coherence tomography was performed, and various anatomical features were noted. RESULTS Out of 50 eyes, 43 had acute and 7 had chronic central serous retinopathy. The mean age of the patients was 34.8 (SD 6.8) years with male (84%) preponderance in our study. All patients had unilateral involvement with blurring of vision (36%) and metamorphopsia (46%) being the main presenting complaints. Total macular thickness ranged from 215 µm to 1058 µm (Mean±SD: 570±228) and vault height ranged from 78 μm to 794 μm (Mean±SD: 411±207). Retinal pigment epithelial abnormality was seen in 86% eyes. Hyper reflective deposits located deep to neurosensory retina in all 7(100%) eyes with chronic central serous retinopathy and 6 eyes with acute central serous retinopathy, however they were more intense in chronic cases. CONCLUSION Optical coherence tomography can be used as the primary diagnostic tool in central serous retinopathy.
Authors and Affiliations
Sachala Bhoi, Pallavi Priyadarshini Sahu, Radhakanta Bhoi, Subudhi B. N. R
Keywords
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- EP ID EP572095
- DOI 10.18410/jebmh/2018/538
- Views 86
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