Factors affecting the visual outcome in acute central serous chorioretinopathy

Abstract

Objective:To determine the visual outcome in patients with acute Central serous chorioretinopathy (CSCR) and to analyze the association of clinical, angiographic and tomographic factors with final visual outcome in Pakistani population.Methods:This study was conducted at AFIO Rawalpindi and PNS Shifa Naval hospital Karachi from November 2011 to August 2016. Fifty five eyes of 53 patients with acute CSCR were included. All patients underwent a detailed ophthalmic examination including SD OCT imaging at baseline, One month and three month and FFA was performed at baseline. Primary outcome measures were measurement of initial and final BCVA and CFT. SPSS 13.0 was used for the analysis of data.Results:Mean age of study population was 36.66 ± 6.24 years. On OCT mean CFT at baseline was 467.49 ± 144.80 µm in affected eye, whereas mean CFT measurements at final follow up was 244.67 ± 32.99 µm (p <0.01). Presenting mean log MAR BCVA was 0.47 ± 0.25 and final mean log MAR BCVA was 0.18 ± 0.14 (p <0.01). Baseline BCVA showed statistically significant association with final BCVA (p=0.03).Conclusion:Presenting VA of 6/12 or better is associated with favorable visual outcome in patients with acute CSCR.

Evaluation of the Retinal Vessel Density and Subfoveal Choroidal Thickness in Central Cerous Chorioretinopathy Using Optical Coherence Tomography

“…Although no underlying pathophysiologic mechanisms have been established, CSCR is assumed to occur as a result of hyperpermeable choroidal capillaries, which, in conjunction with retinal pigment failure, creates a serous detachment of the neurosensory retina [5][6][7]. Acute CSCR is a self-limiting syndrome with neurosensory retinal detachment resolution and often good visual acuity (VA) recovery within three months [8]. Furthermore, chronic CSCR is defined as persistent subretinal fluid for more than six months [9].…”