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Visual function during and after an acute central serous chorioretinopathy episode
Peter Kiraly1,2, Jaka Smrekar3, Polona Jaki Mekjavić4,5,6
1Eye Hospital, University Medical Centre Ljubljana, 1000, Ljubljana, Slovenia.
Visual function improves after acute central serous chorioretinopathy (CSC) resolves, with contrast sensitivity (CS) continuing to enhance. Greater macular volume at presentation correlates with poorer visual outcomes in CSC patients.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Visual Function Testing
Background:
- Acute central serous chorioretinopathy (CSC) is a condition affecting the retina.
- Understanding visual function recovery after CSC is crucial for patient management.
Purpose of the Study:
- To evaluate visual function parameters during and after an acute central serous chorioretinopathy (CSC) episode.
- To assess the impact of macular volume on functional outcomes in CSC patients.
Main Methods:
- Prospective study of 19 patients with acute CSC.
- Assessed visual acuity, contrast sensitivity, microperimetry, and multifocal electroretinography at baseline, 3, and 6 months.
- Subgroup analysis based on macular volume at presentation.
Main Results:
- Significant improvements in visual acuity, contrast sensitivity, retinal sensitivity, and mfERG parameters were observed within 3 months.
- Contrast sensitivity continued to improve between 3 and 6 months.
- Patients with greater macular volume showed lower mfERG amplitude and retinal sensitivity at 6 months.
Conclusions:
- Visual function largely recovers after CSC resolution, with sustained contrast sensitivity improvement.
- Higher macular volume at presentation is associated with worse long-term visual outcomes.
- Visual impairment in CSC is localized to the area of subretinal fluid detachment.
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