J Korean Ophthalmol Soc.
1993 Dec;34(12):1242-1246.
Central Serous Retinopathy in Old Age
- Affiliations
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- 1Department of Ophthalmology, Yonsei University, College of Medicine, Seoul, Korea.
Abstract
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Central serous retinopathy is a serous detachment of sensory retina in macular area resulting from retinal pigment epithelial defect. It usually affects adult between 25 and 50 years of age. Central serous retinopathy which occured in 50 years of age or older can be readily mistaken for senile macular degeneration with subretinal neovascularization, Two diseases must be differentiated because of different progress and treatment. Thirteen patients were 50 years of age or older among 172 patients with central serous retinopathy, There were 3 eyes with retinal pigment epithelial atrophy but there were no eyes with soft drusen, geographic atrophy and subretinal neovascular membrane. Subretinal neovascular membrane was not seen during follow up period also. Seven eyes received conservative treatment and 6 eyes received argon laser photocoagulation. Visual acuity of all patients improved to more than 20/50 after treatment and visual prognosis is not different with that of young adult.