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The association between visual function and retinal structure in chronic central serous chorioretinopathy
Aya Sugiura1, Ryosuke Fujino1, Nobuko Takemiya1
1Department of Ophthalmology, University of Tokyo Graduate School of Medicine, Tokyo, Japan.
Scientific Reports
|November 28, 2017
Summary
In central serous chorioretinopathy (CSC), serous retinal detachment significantly impacts retinal sensitivity. However, visual acuity was not directly correlated with detachment height in this study.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Visual Function Studies
Background:
- Central serous chorioretinopathy (CSC) is characterized by serous detachment of the neurosensory retina, primarily affecting the macula.
- Understanding the relationship between structural changes and functional deficits is crucial for managing CSC.
Purpose of the Study:
- To investigate the association between visual function and retinal structure in patients with chronic CSC.
- To determine how serous retinal detachment height and retinal thickness correlate with visual sensitivity and acuity.
Main Methods:
- MP3 microperimetry was used to measure retinal sensitivity (MS0, MS2, MS4, MS6) in 22 eyes of chronic CSC patients.
- Optical coherence tomography (OCT) was employed to assess serous retinal detachment height (SRDH), central retinal thickness (CRT), macular volume (MV), and central choroidal thickness (CCT).
- LogMAR best-corrected visual acuity (LogMAR VA) was also recorded.
Main Results:
- Significant negative correlations were found between LogMAR VA and foveal sensitivity (MS0) and mean sensitivity within two degrees (MS2).
- No significant relationship was observed between LogMAR VA and SRDH.
- Significant negative correlations existed between SRDH and retinal sensitivity measures (MS2, MS4, MS6).
Conclusions:
- In CSC, serous retinal detachment is significantly correlated with reduced retinal sensitivity as measured by microperimetry.
- Retinal sensitivity is a more sensitive indicator of the impact of serous retinal detachment than best-corrected visual acuity in CSC.
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