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18.12.2018 | Retinal Disorders | Ausgabe 2/2019

Graefe's Archive for Clinical and Experimental Ophthalmology 2/2019

Central serous chorioretinopathy in elderly subjects: angiographic and tomographic characteristics

Zeitschrift:
Graefe's Archive for Clinical and Experimental Ophthalmology > Ausgabe 2/2019
Autoren:
Kunho Bae, Seung Wan Nam, Se Woong Kang, Eung Suk Kim, Seung-Young Yu, Kyung Tae Kim, Sang Jin Kim
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1007/​s00417-018-4201-8) contains supplementary material, which is available to authorized users.
Meeting Presentation: This paper was presented at the Korean Ophthalmology Society Meeting 2017, Seoul.

Abstract

Purpose

To investigate the angiographic, tomographic, and clinical characteristics of idiopathic central serous chorioretinopathy (CSC) in elderly patients.

Methods

The patients were divided into two groups according to a cutoff age of 60 years at baseline. Patients underwent spectral domain optical coherence tomography, fluorescein angiography, and indocyanine green angiography. Angiographic and tomographic features were compared between the two groups (young vs. elderly group).

Results

Of 176 patients, 26 patients (15.1%) were 60 years or older. Complete resolution of subretinal fluid after treatment was noted in 72.0% of the elderly group and 90.8% of the young group (P = 0.021). The elderly group showed worse baseline and final vision, more bilateral involvement, and lower male preponderance than the young group (P < 0.05, respectively). The elderly group was also associated with a higher frequency of retinal pigment epithelium depigmentation, foveal thinning, and double-layer sign compared with the young group (P < 0.05, respectively).

Conclusion

CSC in elderly patients was associated with a lower resolution of serous detachment, increased impairment of retinal pigment epithelial layers, foveal thinning, and worse visual outcome, suggesting a chronic insult to the choroidal vessels involving more severe damage to the outer retinal layers.

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