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Published on: November 2, 2018
High-resolution ultrasonography in central serous chorioretinopathy
Daniele Doro1, Silvia Visentin, Pierpaolo E Maimone
1Department of Ophthalmology, University of Padua, Padua, Italy. daniele.doro@unipd.it
Purpose:
To investigate the use of high-resolution ultrasonography for detecting choroidal layer abnormalities in eyes with central serous chorioretinopathy (CSC).
Design:
Prospective observational case series.
Method:
Optical coherence tomography (OCT) and high-resolution ultrasonography with a 20-MHz immersion probe were performed bilaterally in 10 patients, of whom 5 were affected by unilateral active CSC and 5 by unilateral cystoid macular edema (CME). Ten age-matched control subjects were also investigated.
Results:
Both OCT and high-resolution ultrasonography showed a macular elevation in eyes with CSC and CME. High-resolution ultrasonography has shown evidence of a nonechogenic linear band under the retinal pigment epithelium in patients affected by CSC. This could be found in neither patients with CME or in control subjects.
Conclusion:
High-resolution ultrasonography can detect a nonechogenic space consistent with hyperpermeability of choroidal capillaries in eyes with active CSC. Shadowing by an altered retinal pigment epithelium cannot be ruled out, however.
