Fundus Autofluorescence in Acute and Chronic Central Serous Chorioretinopathy

Abstract

Pur po se: To evaluate the findings of fundus autofluorescence (FAF) imaging in acute and chronic central serous chorioretinopathy (CSC) patients. Ma te ri al and Met hod: A total of 40 eyes of 36 patients (8 females, 28 males) were analyzed retrospectively. The patients were divided into two groups as acute CSC when the complaints lasted less than six months and as chronic CSC for complaints of more than six months’ duration. Complete ophthalmologic examination was performed. Retinal thickness, pigment epithelium detachment (PED), and subretinal deposits were analyzed using OCT. Leakage points and serous retinal detachment were classified as hypoautofluorescence or hyperautofluorescence on FAF imaging. Re sults: The number of eyes with acute CSC was 21 (52.5%), and the number of eyes with chronic CSC was 19 (47.5%). The average retinal thickness was 422.14±99.6 microns in acute CSC eyes and 383.6±104.1 microns in chronic CSC eyes (p=0.240). We detected PED in 11 eyes and subretinal deposits in 21 eyes. The leakage points of all eyes showed hyperfluorescence in FFA. On FAF imaging, 33 leakage points demonstrated hypoautofluorescence and 7 leakage points showed hyperautofluorescence. The areas of serous retinal detachment were observed as hypoautofluorescence in 22 eyes and as hyperautofluorescence in 18 eyes. Dis cus si on: Subretinal deposits are detected mostly in chronic CSC and are observed as hyperautofluorescence on FAF imaging. (Turk J Ophthalmol 2013; 43: 94-8)

Keywords

• Central serous chorioretinopathy
• fundus autofluorescence
• pigment epithelium detachment
• serous retinal detachment
• subretinal deposits