The role of optical coherence tomography angiography in diagnosis of central serous chorioretinopathy

Purpose To detect the findings of optical coherence tomography angiography (OCTA) in eyes with central serous chorioretinopathy (CSCR), in comparison with conventional multimodal imaging. Patients and methods In the current case series, 80 eyes of 80 patients were diagnosed to have CSCR, and they un...

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Main Authors: Ghada Samir, Hussam E O Elrashidy, Alaa Atia
Format: Article
Language:English
Published: General Organization of Teaching Hospitals and Institutes 2021-01-01
Series:Journal of Medicine in Scientific Research
Subjects:
Online Access:http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2021;volume=4;issue=3;spage=229;epage=233;aulast=Samir
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author Ghada Samir
Hussam E O Elrashidy
Alaa Atia
author_facet Ghada Samir
Hussam E O Elrashidy
Alaa Atia
author_sort Ghada Samir
collection DOAJ
description Purpose To detect the findings of optical coherence tomography angiography (OCTA) in eyes with central serous chorioretinopathy (CSCR), in comparison with conventional multimodal imaging. Patients and methods In the current case series, 80 eyes of 80 patients were diagnosed to have CSCR, and they underwent spectral domain optical coherence tomography (SD-OCT), fluorescein angiography (FA), and OCTA. OCTA images are performed at two main depth intervals: automatically segmented outer retina and automatically segmented choriocapillaris. Results In 40 of 80 eyes, OCTA images showed detached retina adjacent to the leakage point, compared with 40 of 80 eyes using FA, and 80 of 80 eyes using SD-OCT. In 44 of 80 eyes, irregular flow patterns were observed on OCTA images through the choriocapillaris. OCTA images could not identify leakage points in any of the included eyes, compared with 68 of 80 eyes on FA, and 56 of 80 eyes on SD-OCT. In 12 of 80 eyes, abnormal vessels (associated choroidal neovascularization) were observed on OCTA images, compared with eight of 80 eyes in SD-OCT and four of 80 eyes in FA. Conclusion OCTA images of the superficial and deep retinal plexus, outer retina, and choriocapillaris did not reveal altered flow patterns directly associated with the leakage point in acute CSCR. However, OCTA was able to visualize altered choroidal flow in some of the included eyes and was the best between all other modalities in detection of choroidal neovascularization in eyes with chronic CSCR.
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spelling doaj.art-c7db178d7812451aac4973bd5f9cb7202024-04-02T14:38:11ZengGeneral Organization of Teaching Hospitals and InstitutesJournal of Medicine in Scientific Research2537-091X2537-09282021-01-014322923310.4103/JMISR.JMISR_101_20The role of optical coherence tomography angiography in diagnosis of central serous chorioretinopathyGhada SamirHussam E O ElrashidyAlaa AtiaPurpose To detect the findings of optical coherence tomography angiography (OCTA) in eyes with central serous chorioretinopathy (CSCR), in comparison with conventional multimodal imaging. Patients and methods In the current case series, 80 eyes of 80 patients were diagnosed to have CSCR, and they underwent spectral domain optical coherence tomography (SD-OCT), fluorescein angiography (FA), and OCTA. OCTA images are performed at two main depth intervals: automatically segmented outer retina and automatically segmented choriocapillaris. Results In 40 of 80 eyes, OCTA images showed detached retina adjacent to the leakage point, compared with 40 of 80 eyes using FA, and 80 of 80 eyes using SD-OCT. In 44 of 80 eyes, irregular flow patterns were observed on OCTA images through the choriocapillaris. OCTA images could not identify leakage points in any of the included eyes, compared with 68 of 80 eyes on FA, and 56 of 80 eyes on SD-OCT. In 12 of 80 eyes, abnormal vessels (associated choroidal neovascularization) were observed on OCTA images, compared with eight of 80 eyes in SD-OCT and four of 80 eyes in FA. Conclusion OCTA images of the superficial and deep retinal plexus, outer retina, and choriocapillaris did not reveal altered flow patterns directly associated with the leakage point in acute CSCR. However, OCTA was able to visualize altered choroidal flow in some of the included eyes and was the best between all other modalities in detection of choroidal neovascularization in eyes with chronic CSCR.http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2021;volume=4;issue=3;spage=229;epage=233;aulast=Samircentral serrous chorioretinopathyoptical coherence tomography angiographyspectral domain optical coherence tomographyfundus flourescein angiography
spellingShingle Ghada Samir
Hussam E O Elrashidy
Alaa Atia
The role of optical coherence tomography angiography in diagnosis of central serous chorioretinopathy
Journal of Medicine in Scientific Research
central serrous chorioretinopathy
optical coherence tomography angiography
spectral domain optical coherence tomography
fundus flourescein angiography
title The role of optical coherence tomography angiography in diagnosis of central serous chorioretinopathy
title_full The role of optical coherence tomography angiography in diagnosis of central serous chorioretinopathy
title_fullStr The role of optical coherence tomography angiography in diagnosis of central serous chorioretinopathy
title_full_unstemmed The role of optical coherence tomography angiography in diagnosis of central serous chorioretinopathy
title_short The role of optical coherence tomography angiography in diagnosis of central serous chorioretinopathy
title_sort role of optical coherence tomography angiography in diagnosis of central serous chorioretinopathy
topic central serrous chorioretinopathy
optical coherence tomography angiography
spectral domain optical coherence tomography
fundus flourescein angiography
url http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2021;volume=4;issue=3;spage=229;epage=233;aulast=Samir
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