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Idiopathic Central
Serous Chorioretinopathy
Clinical Features
1. Young male between the ages of 20-50 years.
2. The males females ratio is reported to be 10:1.
3. Found in males with Type A personality.
4. Metamorphopsia, micropsia, a relative positive
scotoma, and occasional macropsia.
5. Blurring of the vision with hypermetropic shift.
6. Round circumscribed area of retinal elevation in the
macula.
7. The foveal reflex may be absent or attenuated.
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| CSR(Idiopathic Central Serous
Chorioretinopathy),Pic Courtesy: Dr Sudhir Singh |
Early FFA Phase of
CSR(Idiopathic Central Serous
Chorioretinopathy),Pic Courtesy: Dr Sudhir Singh |
Fluorescein angiography
1. Early phase of the angiogram shows hyper fluorescence
corresponding to the size of the RPE detachment
2. b. In 95% of the cases one or as many as seven areas
of leakage of dye are seen from the RPE into the sub
retinal space.
3. Diffuses dye filling pattern - most common. The dye
slowly to fill in the retinal detachment in 20 to 30
minutes.
Smokestack pattern – less common
4. In most of case s threre is a single leak with the
leaking site is within 1 disc diameter area of the
fovea. But, the foveola is affected in less than 10%
cases.
5. The incidence of leakage sites is greatest in the
upper nasal quadrant, followed by lower nasal quadrant,
and the lower temporal quadrant.
6. About 25% of the leaks are located in the
papillomacular bundle.
Indocyanine green angiography
• Better than fluorescein angiography for
choroidal ciculation because ICG dye protein
bound large molecule do not leak from
choriocapillaries, so it remain choridal
circulation. Fluorescence of ICG dye is in the
infrared range so hemorrhage does not block
choroidal fluorescence |
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