Foveal Thickness Can Predict Visual Outcome in Patients with Persistent Central Serous Chorioretinopathy

Abstract

Aims: To evaluate relationships between visual prognosis and foveal thickness measured by optical coherence tomography in patients with unilateral persistent central serous chorioretinopathy. Methods: Fifteen eyes of fifteen patients with symptoms for more than 6 months were evaluated on visual acuity and foveal thickness before and after foveal reattachment. Results: Mean age was 49.7 years (range 34–69), symptoms prolonged for 21.8 months (7–36), logarithm of the minimum angle of resolution (LogMAR) was 0.27 (decimal visual acuity 0.53). After foveal reattachment, LogMAR was 0.16 (0.69). Final foveal thickness (mean 109 μm) was thinner than that of initial presentation (151 μm) and unaffected fellow eye (144 μm). Thicker initial foveal thickness compared with fellow eyes had good visual prognosis of 1.0 or more (p = 0.0046). Final visual acuity correlated with initial (r = –0.73) and final (r = –0.81) foveal thickness. Conclusions: Foveal thickness can be a factor predictive of visual outcome in patients with persistent central serous chorioretinopathy.

Quantitative and Qualitative Spectral Domain Optical Coherence Tomography Analysis of Subretinal Deposits in Patients with Acute Central Serous Retinopathy

“…Foveal thickness has been occasionally reported to correlate with visual acuity in CSR [27,28,29]. However, we found that neither total central retinal thickness nor central neurosensory retinal thickness was correlated with baseline or final BCVA.…”

Macular Pigment Optical Density in Central Serous Chorioretinopathy

“…The central retina in eyes with chronic CSC is thin and correlates with disease duration based on OCT studies. 50,51 The present study also showed that the central retina in eyes with chronic and acute CSC was significantly thinner than in normal subjects. Therefore, a thinner central retina may result in a low MPOD in the affected eyes with chronic CSC for the same reason as in normal eyes.…”

Correlations among various functional and morphological tests in resolved central serous chorioretinopathy

“…Piccolino et al reported that the mean final BCVA was better in the preserved outer plexiform layer than in an atrophic outer plexiform layer 12. Correlation of logMAR BCVA and foveal thickness after fluid resolution in CSC ranges from −0.432 to −0.81 in the published literature 14 15…”