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Subretinal exudative deposits in central serous chorioretinopathy
D Ie1, L A Yannuzzi, R F Spaide
1Department of Ophthalmology, Manhattan Eye, Ear and Throat Hospital, New York, NY 10021.
The British Journal of Ophthalmology
|June 1, 1993
Summary
Subretinal exudation in central serous chorioretinopathy does not always indicate choroidal neovascularisation. These fibrin plaques can resolve with the condition, highlighting the need for revised pathophysiological theories.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Macular Disorders
Background:
- Subretinal exudation near the macula often suggests choroidal neovascularisation.
- Central serous chorioretinopathy (CSC) is a condition causing neurosensory detachment of the macula.
Purpose of the Study:
- To investigate the presence and characteristics of subretinal exudates in patients diagnosed with CSC.
- To determine if subretinal exudation can occur in CSC without signs of choroidal neovascularisation.
Main Methods:
- Retrospective chart review of newly diagnosed CSC cases.
- Analysis of 11 patients with subretinal exudate plaques.
- Clinical examination and follow-up to assess resolution and outcomes.
Main Results:
- Eleven CSC patients presented with solitary subretinal fibrin plaques (300-1500 microns).
- These patients showed no clinical signs or history suggestive of choroidal neovascularisation.
- Exudates overlying retinal pigment epithelium leaks resolved with CSC, leaving subtle RPE alterations.
Conclusions:
- Subretinal exudation does not exclude a diagnosis of central serous chorioretinopathy.
- Pathophysiological models of CSC must account for the deposition of these subretinal plaques.