Characteristics of acute central serous chorioretinopathy on optical coherence tomography - a retrospective study

Central Serous Chorioretinopathy is a common chorioretinal disease which is characterized by serous detachment of the neurosensory retina from the Retinal Pigment Epithelium (RPE) in the macular area. The purpose of this study was to find out the characteristics of acute central serous chorioretinopathy on optical coherence tomography. This study was conducted at Lahore General Hospital and Yaqin Vision from January 2016 to June 2018. The retrospective analysis of all optical coherence tomography scans of 50 patients with acute central serous chorioretinopathy was done. Patients having wet macular degeneration producing similar findings were excluded. Each optical coherence tomography scan was carefully studied using the line scan, radial scan and 3-D scan. Central foveal thickness, foveal contour, status of ellipsoid layer, retinal pigment epithelium and Sub-retinal fluid was analyzed by a single observer. Out of total 50 patients, 37 were males and 13 were females. Serous macular detachment was observed in all the patients, pigment epithelial detachment was found in 13 patients, brush border pattern was present in 31 patients, retinal pigment epithelium bulge was found in 36 patients, dipping pattern was identified in 9 patients and intra-retinal hyper-reflective dots was observed in 3 patients. Hence, optical coherence tomography may be helpful in diagnosing the characteristics of central serous chorioretinopathy and understanding the mechanisms of the disease.