CLINICAL FACTORS RELATED TO VISUAL OUTCOME in CENTRAL SEROUS CHORIORETINOPATHY

CLINICAL FACTORS RELATED TO VISUAL OUTCOME in CENTRAL SEROUS CHORIORETINOPATHY

Author Aggio, Fabio B. Autor UNIFESP Google Scholar
Roisman, Luiz Autor UNIFESP Google Scholar
Melo, Gustavo B. Autor UNIFESP Google Scholar
Lavinsky, Daniel Autor UNIFESP Google Scholar
Cardillo, Jose A. Autor UNIFESP Google Scholar
Farah, Michel E. Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Purpose: the purpose of this study was to describe clinical, angiographic, and tomographic prognostic factors in central serous chorioretinopathy.Methods: This is a prospective uncontrolled case series. Forty-six eyes (43 patients) with clinical and angiographic findings consistent with central serous chorioretinopathy were included. Clinical data regarding age, sex, duration of symptoms, associated conditions, and best-corrected visual acuity (BCVA) were collected at baseline. Optical coherence tomography was performed at baseline, monthly until fluid resolution occurred, and at the end of the follow-up.Results: Mean follow-up was 22.8 months. Mean baseline and final logarithm of the minimum angle of resolution BCVA were 0.3 and 0.12 (P < 0.0001), respectively. Statistically significant correlations were observed between the baseline BCVA as well as duration of symptoms and final BCVA. Angiographic patterns were not significantly correlated with the visual outcome. Shorter periods of subfoveal fluid during the follow-up were correlated with better visual acuity. Mean foveal thickness after fluid resolution was 178 +/- 22 mm. Both baseline and final BCVA were strongly correlated with the foveal thickness after fluid resolution.Conclusion: Initial BCVA may be a reliable predictor of the visual outcome in central serous chorioretinopathy. Eyes with worse BCVA may have an increased risk of foveal atrophy. Fluid persistence on optical coherence tomography may be associated with worse visual prognosis. RETINA 30:1128-1134, 2010
Language English
Date 2010-07-01
Published in Retina-the Journal of Retinal and Vitreous Diseases. Philadelphia: Lippincott Williams & Wilkins, v. 30, n. 7, p. 1128-1134, 2010.
ISSN 0275-004X (Sherpa/Romeo, impact factor)
Publisher Lippincott Williams & Wilkins
Extent 1128-1134
Origin http://dx.doi.org/10.1097/IAE.0b013e3181cdf381
Access rights Closed access
Type Article
Web of Science ID WOS:000279635600020
URI http://repositorio.unifesp.br/handle/11600/32694

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