Morphological Changes in the Retinal Pigment Epithelium on Spectral-domain OCT in the Unaffected Eyes with Idiopathic Central Serous Chorioretinopathy
Overview
Affiliations
Purpose: To report the changes seen in the retinal pigment epithelium (RPE) morphology in the asymptomatic eyes of patients with idiopathic central serous chorioretinopathy (ICSC) using spectral-domain Cirrus (TM) high-definition optical coherence tomography (HD-OCT).
Methods: In a prospective case series, 17 consecutive patients with unilateral ICSC underwent spectral-domain Cirrus (TM) HD-OCT scans for both affected and opposite asymptomatic eye. Three-dimensional single-layer RPE map was studied in both eyes for morphological alterations, and findings were correlated with clinical presentation, fluorescein angiogram, and 5 Line raster scan. Additionally, three-dimensional (3D) single-layer RPE maps done in 111 healthy volunteers served as control.
Results: In patients with ICSC, 3D single-layer RPE analysis of asymptomatic eyes showed presence of RPE bumps in 16 (94%) eyes and pigment epithelium detachment (PED) in 2 (11.8%) eyes. The 5 Line raster scan was normal in all eyes. Of 222 normal (control) scans, 18 showed RPE bumps and none showed PED. Conclusions 3D single-layer RPE map showed abnormal pattern in the asymptomatic eyes of patients with unilateral ICSC.
Summary: Spectral-domain optical coherence tomography showed morphologic alterations in retinal pigment epithelium in both eyes of patients with idiopathic central serous chorioretinopathy.
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Savastano M, Fossataro C, Sadun R, Scupola A, Sammarco M, Rizzo C Life (Basel). 2023; 13(6).
PMID: 37374191 PMC: 10304114. DOI: 10.3390/life13061407.
Zeng Q, Luo L, Yao Y, Tu S, Yang Z, Zhao M Front Med (Lausanne). 2022; 9:967369.
PMID: 36160148 PMC: 9490028. DOI: 10.3389/fmed.2022.967369.
Ho M, Kwok S, Mak A, Lai F, Ng D, Chen L J Ophthalmol. 2021; 2021:6649064.
PMID: 34194820 PMC: 8184321. DOI: 10.1155/2021/6649064.
Central Serous Chorioretinopathy Classification.
Vilela M, Mengue C Pharmaceuticals (Basel). 2021; 14(1).
PMID: 33396886 PMC: 7823356. DOI: 10.3390/ph14010026.
Han K, Ju Kim H, Woo J, Min J J Clin Med. 2020; 10(1).
PMID: 33375674 PMC: 7795401. DOI: 10.3390/jcm10010045.