Angiographic characteristics of contralateral asymptomatic eyes in acute Central serous chorio-retinopathy in an Asian population

Authors

  • Rajya L Gurung Consultant, Vitreo-retina, Biratnagar Eye Hospital, Biratnagar, Nepal
  • Afaque Anwar Statistician, MPH, Health Educator, Biratnagar Eye Hospital, Biratnagar, Nepal

DOI:

https://doi.org/10.3126/ajms.v10i1.21111

Keywords:

Central serous chorio-retinopathy, Fluorescein angiography, Visual acuity, Asian

Abstract

Background: Acute Central serous chorioretinopathy (CSCR) is characterised by an idiopathic circumscribed serous retinal detachment, usually confined to the central macula.

Aims and Objective: We aimed to analyse the angiographic characteristics of contra-lateral asymptomatic eyes of  patients presenting with acute CSCR in an Asian population.

Materials and methods: This is a retrospective study of 70 consecutive patients presenting with acute CSCR who underwent detailed fundus evaluation and fluorescein angiography within 1 year period.

Results: Fluorescein angiograms of 70 patients were analysed . Male to female ratio was 10.66 : 1. The age range of patients was ( 24-54 ) years , median 37 years and mean age  38.37 years with standard deviation 6.78 . Active tobacco use was found in 34 (48.6%) eyes and  systemic steroid use in 2 (2.8%) eyes. Majority, 48 (34.3% ) of symptomatic and all 70(100% ) of contralateral asymptomatic eyes had presenting best corrected visual acuity ( BCVA ) of  ≥ 20/60.  All 70 (100%) of symptomatic eyes had angiographic evidence of leakage in comparison to only 25(35.7%) of contralateral asymptomatic eyes.  Multi-focal leakage was seen in 21 (30%) of symptomatic eyes and 6(8%) of asymptomatic eyes , inkblot  leakage  pattern being the most common in seen in 57 (81.4%) of  symptomatic and 16 (22.8%) of asymptomatic  eyes.  The most common site of leakage was central seen in 62 (88.5%) of symptomatic eyes and 19 (27.1%) of contralateral asymptomatic eyes.

Conclusion: The findings in our study was comparable to other Asian studies.  A considerable number of patients had angiographic evidence of CSCR in the contralateral  asymptomatic eye. 

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Published

2018-12-11

How to Cite

Gurung, R. L., & Anwar, A. (2018). Angiographic characteristics of contralateral asymptomatic eyes in acute Central serous chorio-retinopathy in an Asian population. Asian Journal of Medical Sciences, 10(1), 33–37. https://doi.org/10.3126/ajms.v10i1.21111

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Section

Original Articles