Fluorescein and Indocyanine Green Angiographies of Central Serous Choroidopathy by Scanning Laser Ophthalmoscopy

Scheider, A.; Nasemann, Jan; Lund, O.-E.

doi:10.1016/s0002-9394(14)73524-x

Cited by 207 publications

(93 citation statements)

References 11 publications

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“…[4][5][6][7][8][9] The author also found these choroidal vascular abnormalities in a previous study. 15 ICGA showed choroidal vascular hyperpermeability in 28 (93.3%) eyes with CSC and in 23 (73.3%) unaffected fellow eyes.…”

Section: Discussionsupporting

confidence: 58%

“…5 Since Gass 1 proposed that CSC originates in choriocapillaris hyperpermeability, several studies, based on indocyanine green angiography (ICGA) findings, demonstrated the evidences of choroidal vascular abnormalities in patients with CSC. [4][5][6][7][8][9] Furthermore, recent studies evaluated the choroidal thickness in CSC using enhanced depth imaging optical coherence tomography (EDI-OCT), which can provide crosssectional images of choroid non-invasively and assess the effects of choroidal vascular hyperpermeability. [10][11][12][13][14][15][16] Imamura et al 11 reported that subfoveal choroidal thickness (SFCT), in eyes with CSC, was significantly larger than that of the normal eyes, as shown on EDI-OCT.…”

Section: Introductionmentioning

confidence: 99%

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Change in subfoveal choroidal thickness in central serous chorioretinopathy following spontaneous resolution and low-fluence photodynamic therapy

Kang

2013

Eye

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Purpose To assess the change in subfoveal choroidal thickness (SFCT) in central serous chorioretinopathy (CSC) following spontaneous resolution and low-fluence photodynamic therapy (PDT) using the enhanced depth imaging optical coherence tomography (EDI-OCT). Methods A total of 36 consecutive eyes of 36 patients were included in this retrospective study: 16 eyes with spontaneously resolved CSC and 20 eyes with PDT-treated CSC. Best-corrected visual acuity and SFCT were evaluated at each visit until complete absorption of the subretinal fluid. SFCT of 32 normal subjects were also measured, as the control group. Wilcoxon's singed-rank test was used to evaluate the effects of spontaneous resolution and PDT. To compare the SFCT of the eyes with resolved CSC with that of the normal eyes, Mann-Whitney U-test with Bonferroni correction was also employed. Results SFCT of patients was 459.16 ± 77.50 lm at the baseline, and decreased to 419.31±54.49lm after a spontaneous resolution (P ¼ 0.015). However, SFCT was not normalized in comparison with that of the normal subjects (Po0.001). SFCT in PDT group was also reduced from 416.43 ± 74.01 to 349.50 ± 88.99 lm (Po0.001), with no significant difference with the normal value (P ¼ 0.087).Conclusions SFCT in patients with CSC decreased both after spontaneous resolution and low-fluence PDT. However, only in the PDT group, after disappearance of subretinal fluid, did it decrease to that of normal subjects.

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Section: Discussionsupporting

confidence: 58%

Section: Introductionmentioning

confidence: 99%

Change in subfoveal choroidal thickness in central serous chorioretinopathy following spontaneous resolution and low-fluence photodynamic therapy

Kang

2013

Eye

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“…Gass proposed that CSC was the result of choroidal vascular hyperpermeability (1) . Later studies using ICGA supported the theory of Gass and demonstrated evidence of hyperpermeability from the choriocapillaries (24,25) . Increased hydrostatic pressure from choroidal vascular hyperpermeability may cause leaks from the level of the RPE and subsequent serous retinal detachment (25) .…”

Section: Discussionmentioning

confidence: 81%

Subfoveal choroidal thickness changes after intravitreal bevacizumab therapy for central serous chorioretinopathy

Ünlü¹,

Erdoğan²,

Gezginaslan³

et al. 2016

Arquivos Brasileiros De Oftalmologia

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Purpose: To evaluate subfoveal choroidal thickness (SFCT ) changes after intravitreal bevacizumab (IVB) therapy for central serous chorioretinopathy (CSC) using enhanced depth imaging spectral-domain optical coherence tomography (EDI-OCT ). Methods: In this retrospective study, we assessed the medical records of patients with CSC who received IVB (IVB group) or who were observed without intervention (control group). SFCT was measured using EDI-OCT. The main outcome measure was the change in SFCT. Results: Twenty-one eyes were included in the IVB group and 16 eyes were included in the control group. All patients showed resolution of neurosensory detachment and improvement in vision. In the IVB group, the mean SFCT was 315 µm at baseline, which decreased to 296 µm at the most recent visit. In the control group, the mean SFCT was 307 µm at baseline, which decreased to 266 µm at the most recent visit. Although there was a significant decrease in the mean SFCT for the control group, the decrease was not significant for the IVB group (41 vs 19 µm, p=0.003 vs p=0.071). Conclusions: SFCT decreased in both groups with remission of the disease. However, the decrease was significantly greater in the control group. In terms of anatomic and functional outcomes, IVB injection is not promising.

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“…For many authors stress-related sympathetic or adrenergic dysfunction causes localized ischemia and thus venous congestion and fluid exudation occur resulting in PED (Prü nte & Flammer 1996, Giovannini et al 1997, Yuzawa et al 1995, Guyer et al 1994, Scheider et al 1993. Theoretically, the detached retinal pigment epithelium cells can be altered in several ways: microscopic tears (Moisseiev 1989) or breakdown of the outer blood-retinal barrier by the action of lysosomal enzymes liberated from damaged pigment epithelium cells (Prü nte & Flammer 1996) which may cause the angiographic leakage to appear.…”

Section: Discussionmentioning

confidence: 99%

Central serous chorioretinopathy following pigment epithelium detachment: fluorescein and indocyanine green angiography follow‐up

Gómez‐Ulla

Vázquez²,

Rodríguez‐Cid³

et al. 2000

Acta Ophthalmologica Scandinavica

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ABSTRACT.Purpose: To evaluate the evolution from idiopathic serous pigment epithelium detachment (PED) to central serous chorioretinopathy (CSC). Methods: Fluorescein angiography (FA) and indocyanine green angiography (ICGA) were performed using the digital imaging system Topcon IMAGEnet H 1024. Results: A leakage point which later became the typical smokestack image of a CSC was found in the upper margin of the persistent PED. Dilation of the choroidal vessels under the detached neuroepithelium was also seen. Conclusions: Clinical and angiographic evidence about the relation betweeen the two entities can help us to understand CSC as a potential evolution of PED and to continue searching for the common injury of the pigment epithelium which probably is the primary event.Key words: indocyanine green angiography -fluorescein angiography -pigment epithelium detachment -central serous chorioretinopathy.

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Fluorescein and Indocyanine Green Angiographies of Central Serous Choroidopathy by Scanning Laser Ophthalmoscopy

Cited by 207 publications

References 11 publications

Change in subfoveal choroidal thickness in central serous chorioretinopathy following spontaneous resolution and low-fluence photodynamic therapy

Change in subfoveal choroidal thickness in central serous chorioretinopathy following spontaneous resolution and low-fluence photodynamic therapy

Subfoveal choroidal thickness changes after intravitreal bevacizumab therapy for central serous chorioretinopathy

Central serous chorioretinopathy following pigment epithelium detachment: fluorescein and indocyanine green angiography follow‐up

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