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FACTORS PREDICTIVE OF PERSISTENT SUBRETINAL FLUID IN ACUTE CENTRAL SEROUS CHORIORETINOPATHY.

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Older age, thicker central retinal thickness, and fellow eye fundus autofluorescence changes predict persistent subretinal fluid in acute central serous chorioretinopathy (CSC). These noninvasive markers aid in predicting outcomes for CSC patients.

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Area of Science:

  • Ophthalmology
  • Retinal Diseases
  • Medical Imaging

Background:

  • Acute central serous chorioretinopathy (CSC) is a common condition affecting the macula.
  • Persistent subretinal fluid can lead to long-term visual impairment.
  • Predictive factors for persistent CSC are crucial for patient management.

Purpose of the Study:

  • To identify clinical parameters that predict persistent subretinal fluid in acute, treatment-naïve CSC.
  • To explore the role of fellow eye findings in CSC prognosis.

Main Methods:

  • Retrospective analysis of 48 eyes from 48 patients with first-time acute CSC.
  • Evaluation of clinical data, including fundus autofluorescence, central retinal thickness, and subfoveal choroidal thickness.
  • Follow-up for at least 6 months to assess subretinal fluid persistence.

Main Results:

  • 38% of eyes had persistent subretinal fluid at 6 months.
  • Fundus autofluorescence alterations were present in 52% of affected eyes and 36% of fellow eyes at baseline.
  • Older age (OR=1.16), thicker central retinal thickness (OR=1.01), and fellow eye autofluorescence alterations (OR=23.5) predicted persistent fluid.

Conclusions:

  • Fellow eye fundus autofluorescence alterations are a strong predictor of persistent subretinal fluid in acute CSC.
  • Older age and increased central retinal thickness also predict fluid persistence.
  • These findings highlight the bilateral nature of CSC and the utility of noninvasive markers for prognosis.