The fluorescein angiographic characteristics of acute central serous chorioretinopathy among Indians vis-a-vis the other Asian and Western populations

Abstract

Background: Several studies have been carried out regarding the angiographic characteristics of acute Central serous chorioretinopathy (CSCR) in the Western population; however, fewer such studies have been done on the Asians and extremely few, if at all any, involving only the Indians. Aim: This study aimed to determine the angiographic characteristics of acute CSCR in a solely Indian population and its comparison with studies reported from the West as well as those involving the other Asian populations. Settings and Design: This retrospective study was carried out in a tertiary-level hospital from July 2012 to June 2015. Materials and Methods: All patients diagnosed as acute CSCR underwent a detailed fundus fluorescein angiography, and the number, location, shape, and topography of the leakage points were then recorded and subsequently analyzed. Results: Five hundred and forty-two eyes of 376 patients of acute CSCR were seen during this period. Majority were young (mean age: 36.2 years) and males 340 (90.43%). Bilateral involvement and multifocal leakage were common and seen in 44.15% and 55.72% of patients, respectively. The inkblot leakage pattern was most common and found in 410 (75.65%) eyes. Conclusion: CSCR is seen at much younger age with a higher male-to-female ratio in this subset of Indian population. The frequency of bilateral as well as multifocal involvement was similar to other Asian studies, and lesser than those reported from the West. The incidence of the inkblot type of leakage pattern was lower than what has been reported in Western literature.

Keywords

• Acute central serous chorioretinopathy
• bilateral and multifocal
• Indian population
• young males