[Evaluation of central serous chorioretinopathy with optical coherence tomography].

Arq Bras Oftalmol

Departamento de Oftalmologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.

Published: October 2006

Purpose: To evaluate optical coherence tomography as an objective diagnostic and follow-up method for central serous chorioretinopathy.

Methods: Observational descriptive study of 16 (sixteen) eyes of 16 patients with unilateral acute central serous chorioretinopathy. These patients had their visual acuity measured and complete ophthalmological examination was performed, including macular slit lamp examination, angiofluoresceinography and optical coherence tomography. No treatment was given to any patient.

Results: Of the 16 central serous chorioretinopathy eyes, 12 patients completed follow-up until total resolution of their disease. Age varied between 27 and 50 years, with mean age of 38.9 years. Most patients were male. On optical coherence tomography, neurosensorial retinal detachment was observed in all cases and 33.3% had retinal pigmented epithelium detachment. There was a significant difference regarding all studied variables. Visual acuity was better, macular thickness and volume diminished when the disease resolved.

Conclusion: Optical coherence tomography showed good efficacy to detect and measure macular changes in eyes with central serous chorioretinopathy, being useful in clinical evaluation during the disease's acute period and resolution.

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http://dx.doi.org/10.1590/s0004-27492006000200006DOI Listing

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