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Clinical features of serous pigment epithelial detachment using optical coherence tomography
Author(s) -
CHOI M,
YOU Y,
LEE D,
LEE J,
CHO S
Publication year - 2008
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2008.636.x
Subject(s) - medicine , visual acuity , ophthalmology , serous fluid , optical coherence tomography , drusen , retinal detachment , retinal pigment epithelium , indocyanine green , macular degeneration , retinal , surgery , pathology
Purpose To analyse clinical features of serous pigment epithelial detachment (PED) using optical coherence tomography (OCT). Methods Retrospective analysis was performed for 38 eyes of 34 patients with serous PED one‐fifth disc diameter or greater in size. Each patient was studied clinical examination with color photography, FAG and OCT. Cross‐sectional retinal images(the height, location and sectional area )through the center of the fovea were obtained from all eyes by OCT. They were statistically analyzed and correlated with best corrected visual acuity. To avoid cases associated with AMD, upper age limit was not 55 year. Patients with evidence of any other retinal or choroidal disease, including extensive drusen, were also eliminated. Results At initial examination, visual acuity was 20/25 or better in 23 eye, the Amsler grid was positive in 18 eyes, there were no drusen in 34 eyes and only minimal drusen in 4 eyes. The final visual acuity was 20/25 or better in 24 eyes, In 22 eyes of them, visual acuity was 20/50 or better. There was statistically correlation between final visual acuity and amount of subretinal fluid. The size, location of PED was not important factors affection visual acuity. Idiopathic CNV and subretinal hemorrhage can occur with this disease. This patient was treated with photocoagulation treatment. Conclusion The prognosis in Serous PED of eyes is excellent, because development of vascular complication was in only one case. Also OCT is potentially useful as a new, noninvasive diagnostic technique for quantitative examination by objectively monitoring the degree of serous PED.