PERIPAPILLARY CHOROIDAL THICKNESS IN CENTRAL SEROUS CHORIORETINOPATHY: Is Choroid Outside the Macula Also Thick?

Retina. 2015 Sep;35(9):1860-6. doi: 10.1097/IAE.0000000000000539.

Abstract

Purpose: To investigate peripapillary choroidal thickness (CT) outside the macula in central serous chorioretinopathy (CSC).

Methods: We reviewed the medical records of 34 patients with unilaterally symptomatic idiopathic CSC and 34 age-matched controls. Subfoveal and peripapillary CT were measured from images obtained by spectral domain optical coherence tomography. The nasal peripapillary CT of the choroid outside the macula was determined.

Results: The subfoveal CT of CSC (369.74 ± 54.17 μm) and fellow eyes (316.18 ± 54.68 μm) of the patient group were thicker than those of the normal controls (281.90 ± 40.97 μm, all P < 0.05). The subfoveal CT in CSC was significantly thicker than those in the fellow eyes. Nasal CT was also thicker in CSC (217.59 ± 62.03 μm) and fellow eyes (206.66 ± 59.35 μm) of the patient group compared with the normal controls (179.52 ± 39.64 μm, all P < 0.05). However, there was no difference in nasal CT between CSC and fellow eyes (P = 0.150).

Conclusion: This result may suggest that manifest CSC occurs in patients with thick choroids both within and outside the macula, especially when subfoveal CT is increased.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Capillary Permeability
  • Central Serous Chorioretinopathy / pathology*
  • Choroid / pathology*
  • Female
  • Fluorescein Angiography
  • Humans
  • Male
  • Middle Aged
  • Observer Variation
  • Optic Disk
  • Organ Size
  • Reproducibility of Results
  • Retrospective Studies
  • Tomography, Optical Coherence
  • Visual Acuity