Vitreous & Retina

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Macular Diseases
Fundus photograph and fluorescein angiogram of a central serous chorioretinopathy showing a characteristic "smoke-stack" hyperfluorescence.

  • Idiopathic.
  • More common in males between the ages of 25 to 50.
  • Has been associated with "Type A" personality.
  • Clinical features:
    • Symptoms:
      • Maybe asymptomatic
      • Blurred or decreased vision
      • "Washed out colors"
      • Central scotoma
      • Metamorphopsia
      • Micropsia (minification of objects)
    • Signs:
      • Localized shallow, round serous detachment of the neurosensory retina in the macular area
  • Fluorescein angiogram demonstrates:
    • Small leak from an RPE defect early in the transit phase which increases in size and intensity over the course of the study
    • Rarely, characteristic "smoke-stack" hyperfluorescence
    • Pooling of fluorescein dye in the subretinal space in the late phase
  • Management:
    • Usually resolves spontaneously over a period of 1 to 6 months.
    • Consider laser photocoagulation treatment for persistent and unresolving CSCR.

Copyright © 2003 Digital Reference of Ophthalmology. All rights reserved. All material published on this website is the property of Digital Reference of Ophthalmology and cannot be duplicated without permission.
Home Search Home Search