Widefield choroidal vasculature associated with future condition of subretinal fluid in central serous chorioretinopathy

Purpose: To examine choroidal angiographic features in the posterior pole associated with resolution or persistency of subretinal fluid (SRF) in eyes with central serous chorioretinopathy (CSC). Design: Observational case series. Methods: Twenty-nine patients with treatment-naïve CSC were divided in...

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Main Authors: Takahiro Kogo, Yuki Muraoka, Masaharu Ishikura, Naomi Nishigori, Naoko Ueda-Arakawa, Manabu Miyata, Hiroshi Tamura, Masayuki Hata, Ayako Takahashi, Masahiro Miyake, Akitaka Tsujikawa
Format: Article
Language:English
Published: Elsevier 2023-08-01
Series:Heliyon
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Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023056499
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author Takahiro Kogo
Yuki Muraoka
Masaharu Ishikura
Naomi Nishigori
Naoko Ueda-Arakawa
Manabu Miyata
Hiroshi Tamura
Masayuki Hata
Ayako Takahashi
Masahiro Miyake
Akitaka Tsujikawa
author_facet Takahiro Kogo
Yuki Muraoka
Masaharu Ishikura
Naomi Nishigori
Naoko Ueda-Arakawa
Manabu Miyata
Hiroshi Tamura
Masayuki Hata
Ayako Takahashi
Masahiro Miyake
Akitaka Tsujikawa
author_sort Takahiro Kogo
collection DOAJ
description Purpose: To examine choroidal angiographic features in the posterior pole associated with resolution or persistency of subretinal fluid (SRF) in eyes with central serous chorioretinopathy (CSC). Design: Observational case series. Methods: Twenty-nine patients with treatment-naïve CSC were divided into two groups based on the presence or absence of SRF 3 months after the initial visit (month 3) without any treatment. Using enhanced depth imaging of widefield swept-source optical coherence tomography, the choroidal thickness (CT), vessel density (VD), and vessel diameter index (VDI) in the superotemporal and inferotemporal subfields on the temporal side of the 18-mm circle from the disc were measured at the initial visit. We calculated the vertical difference in CT and other choroidal angiographic parameters and evaluated their association with the SRF condition at 3 months. Results: The SRF-resolved and SRF-persistent groups included 10 and 19 patients, respectively. At the initial visit, sex, age, axial length, symptom duration, the logarithm of the minimum angle of resolution visual acuity, and foveal thickness were not significantly different between the two groups. The SRF status at month 3 was not associated with the vertical difference in CT and choroidal VD (P = .614, .065, respectively). However, the vertical difference in choroidal VDI was positively associated with the future presence of SRF (P = .017). Conclusions: Vertically asymmetric dilation of choroidal vessels in the posterior pole may be a vasculature feature associated with SRF from CSC and may be a good predictor of future SRF status.
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spelling doaj.art-78f1262964864b469d03125f18c6680a2023-08-30T05:51:19ZengElsevierHeliyon2405-84402023-08-0198e18441Widefield choroidal vasculature associated with future condition of subretinal fluid in central serous chorioretinopathyTakahiro Kogo0Yuki Muraoka1Masaharu Ishikura2Naomi Nishigori3Naoko Ueda-Arakawa4Manabu Miyata5Hiroshi Tamura6Masayuki Hata7Ayako Takahashi8Masahiro Miyake9Akitaka Tsujikawa10Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, JapanCorresponding author. Department of Ophthalmology, Kyoto University Graduate School of Medicine, Sakyo-ku, Kyoto, 606-8507, Japan.; Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, JapanDepartment of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, JapanDepartment of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, JapanDepartment of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, JapanDepartment of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, JapanDepartment of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, JapanDepartment of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, JapanDepartment of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, JapanDepartment of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, JapanDepartment of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, JapanPurpose: To examine choroidal angiographic features in the posterior pole associated with resolution or persistency of subretinal fluid (SRF) in eyes with central serous chorioretinopathy (CSC). Design: Observational case series. Methods: Twenty-nine patients with treatment-naïve CSC were divided into two groups based on the presence or absence of SRF 3 months after the initial visit (month 3) without any treatment. Using enhanced depth imaging of widefield swept-source optical coherence tomography, the choroidal thickness (CT), vessel density (VD), and vessel diameter index (VDI) in the superotemporal and inferotemporal subfields on the temporal side of the 18-mm circle from the disc were measured at the initial visit. We calculated the vertical difference in CT and other choroidal angiographic parameters and evaluated their association with the SRF condition at 3 months. Results: The SRF-resolved and SRF-persistent groups included 10 and 19 patients, respectively. At the initial visit, sex, age, axial length, symptom duration, the logarithm of the minimum angle of resolution visual acuity, and foveal thickness were not significantly different between the two groups. The SRF status at month 3 was not associated with the vertical difference in CT and choroidal VD (P = .614, .065, respectively). However, the vertical difference in choroidal VDI was positively associated with the future presence of SRF (P = .017). Conclusions: Vertically asymmetric dilation of choroidal vessels in the posterior pole may be a vasculature feature associated with SRF from CSC and may be a good predictor of future SRF status.http://www.sciencedirect.com/science/article/pii/S2405844023056499Central serous chorioretinopathyWidefield swept-source optical coherence tomographyEnhanced depth imagingSubretinal fluidSubretinal fluid prognosisChoroidal thickness
spellingShingle Takahiro Kogo
Yuki Muraoka
Masaharu Ishikura
Naomi Nishigori
Naoko Ueda-Arakawa
Manabu Miyata
Hiroshi Tamura
Masayuki Hata
Ayako Takahashi
Masahiro Miyake
Akitaka Tsujikawa
Widefield choroidal vasculature associated with future condition of subretinal fluid in central serous chorioretinopathy
Heliyon
Central serous chorioretinopathy
Widefield swept-source optical coherence tomography
Enhanced depth imaging
Subretinal fluid
Subretinal fluid prognosis
Choroidal thickness
title Widefield choroidal vasculature associated with future condition of subretinal fluid in central serous chorioretinopathy
title_full Widefield choroidal vasculature associated with future condition of subretinal fluid in central serous chorioretinopathy
title_fullStr Widefield choroidal vasculature associated with future condition of subretinal fluid in central serous chorioretinopathy
title_full_unstemmed Widefield choroidal vasculature associated with future condition of subretinal fluid in central serous chorioretinopathy
title_short Widefield choroidal vasculature associated with future condition of subretinal fluid in central serous chorioretinopathy
title_sort widefield choroidal vasculature associated with future condition of subretinal fluid in central serous chorioretinopathy
topic Central serous chorioretinopathy
Widefield swept-source optical coherence tomography
Enhanced depth imaging
Subretinal fluid
Subretinal fluid prognosis
Choroidal thickness
url http://www.sciencedirect.com/science/article/pii/S2405844023056499
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