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Regatieri CV, Novais EA, Branchini L, Adhi M, Cole ED, Louzada R, Lane M, Reichel E, Duker JS. Choroidal thickness in older patients with central serous chorioretinopathy. Int J Retina Vitreous 2016; 2:22. [PMID: 27847640 PMCID: PMC5088461 DOI: 10.1186/s40942-016-0046-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2016] [Accepted: 09/02/2016] [Indexed: 01/06/2023] Open
Abstract
BACKGROUND To investigate the choroidal thickness in older patients with central serous chorioretinopathy (CSCR) compared to age-matched normal subjects. METHODS Fifteen patients (30 eyes) with CSCR, all aged ≥60 years, and 21 age-matched normal subjects (21 eyes) underwent high-definition raster scanning using SD-OCT. Both eyes from CSCR patients were included in the analysis. The eyes in patients with CSCR were divided into two groups: active CSCR (17 eyes) if there was foveal-involving subretinal fluid and inactive contralateral eye group (13 eyes). Choroidal thickness was measured from the posterior edge of the retinal pigment epithelium to the choroidal-scleral junction at 500 µm intervals up to 2500 µm temporal and nasal to the fovea (11 locations). RESULTS The mean age of the patients with CSCR was 68.87 ± 6.83 years (mean ± standard deviation). Reliable measurements of choroidal thickness were obtainable in 70.6 % of eyes examined. The choroid was statistically significantly thicker in eyes with both active CSCR (P < 0.001) and inactive contralateral eyes (P < 0.01) when compared to normal age-matched eyes. The subfoveal choroid was 95 µm (P < 0.01) thicker in eyes with active CSCR (338.05 ± 31.42 µm) compared with normal eyes (243.05 ± 13.39 µm). The subfoveal choroid thickness in the inactive contralateral eyes was numerically greater than normal, and it was not statistically significantly thicker compared to the normal eyes (difference-55.68 µm, P > 0.05). CONCLUSION Choroid in older patients with active CSCR was thicker than the choroid in age-matched normal eyes. It is important to consider CSCR as a differential diagnosis of serous retinal detachment in elderly patients with thickened choroid and to consider SD-OCT as an imaging modality by which to evaluate the choroidal thickness.
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Affiliation(s)
- Caio V Regatieri
- New England Eye Center, Tufts Medical Center, 800 Washington Street, Boston, MA 02111 USA ; Department of Ophthalmology, Federal University of São Paulo, São Paulo, Brazil
| | - Eduardo A Novais
- New England Eye Center, Tufts Medical Center, 800 Washington Street, Boston, MA 02111 USA ; Department of Ophthalmology, Federal University of São Paulo, São Paulo, Brazil
| | - Lauren Branchini
- New England Eye Center, Tufts Medical Center, 800 Washington Street, Boston, MA 02111 USA
| | - Mehreen Adhi
- New England Eye Center, Tufts Medical Center, 800 Washington Street, Boston, MA 02111 USA
| | - Emily D Cole
- New England Eye Center, Tufts Medical Center, 800 Washington Street, Boston, MA 02111 USA
| | - Ricardo Louzada
- New England Eye Center, Tufts Medical Center, 800 Washington Street, Boston, MA 02111 USA ; Department of Ophthalmology, Federal University of Goiás, Goiânia, Brazil
| | - Mark Lane
- New England Eye Center, Tufts Medical Center, 800 Washington Street, Boston, MA 02111 USA ; Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
| | - Elias Reichel
- New England Eye Center, Tufts Medical Center, 800 Washington Street, Boston, MA 02111 USA
| | - Jay S Duker
- New England Eye Center, Tufts Medical Center, 800 Washington Street, Boston, MA 02111 USA
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