J Korean Ophthalmol Soc.  2008 Feb;49(2):282-287. 10.3341/jkos.2008.49.2.282.

Measurement and Analysis of Serous Fluid in Central Serous Chorioretinopathy using OCT

Affiliations
  • 1Department of Ophthalmology, College of Medicine, Inje University, Sanggye Paik Hospital, Seoul, Korea. eyedoctor@freechal.com
  • 2Department of Ophthalmology, College of Medicine, Inje University, Seoul Paik Hospital, Seoul, Korea.

Abstract

PURPOSE: To evaluate the correlation between the degree of serous fluid and best corrected visual acuity at the first visit in central serous chorioretinopathy using optical coherence tomography.
METHODS
Retrospective analysis was performed for 30 eyes of 30 patients with central serous chorioretinopathy. Cross-sectional retinal images through the center of the fovea were obtained from all eyes by optical coherence tomography. The height, sectional area, and the tangent of theta (tan theta) were estimated. They were statistically analyzed and correlated with best corrected visual acuity.
RESULTS
Mean (+/-SD) height of serous fluid was 341.40+/-120.60 micrometer, mean (+/-SD) sectional area was 0.55+/-0.29 mm2, and mean (+/-SD) tan theta was 0.22+/-0.04. The correlation coefficients between best corrected visual acuity at the first visit and sectional area were r=-0.740 (P=0.001).
CONCLUSIONS
Optical coherence tomography is useful for the quantitative evaluation of serous neurosensory retinal detachment and estimating visual acuity in central serous chorioretinopathy.

Keyword

Central serous chorioretinopathy; Serous fluid; Optical coherence tomography

MeSH Terms

Central Serous Chorioretinopathy
Evaluation Studies as Topic
Eye
Humans
Retinal Detachment
Retinaldehyde
Retrospective Studies
Tomography, Optical Coherence
Triacetoneamine-N-Oxyl
Visual Acuity
Retinaldehyde
Triacetoneamine-N-Oxyl

Figure

  • Figure 1. (A) The fundus photograph shows an grayish-white lesion to the fovea. (B) Fluorescein angiogram shows a detachment of neurosensory retina with dye leakage in the area of grayish-white lesion. (C) A tomographic sectional image of the lesion.

  • Figure 2. (A) A gray color region shows a serous retinal detachment in the macular area. The black arrows indicate the scanning lines of optical coherence tomography. (B) The maximal height, sectional area, tan θ were estimated in cross-sectional image by optical coherence tomography.

  • Figure 3. Scatter plot and simple linear regression line between visual acuity and sectional area of central serous chorioretinopathy (R2=0.684, P=0.001).


Reference

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