Foveal Thickness Can Predict Visual Outcome in Patients with Persistent Central Serous Chorioretinopathy

Publisher： Karger

E-ISSN： 1423-0267|223|1|28-31

ISSN： 0030-3755

Source： Ophthalmologica, Vol.223, Iss.1, 2008-10, pp. : 28-31

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Abstract

Aims: To evaluate relationships between visual prognosis and foveal thickness measured by optical coherence tomography in patients with unilateral persistent central serous chorioretinopathy. Methods: Fifteen eyes of fifteen patients with symptoms for more than 6 months were evaluated on visual acuity and foveal thickness before and after foveal reattachment. Results: Mean age was 49.7 years (range 34–69), symptoms prolonged for 21.8 months (7–36), logarithm of the minimum angle of resolution (LogMAR) was 0.27 (decimal visual acuity 0.53). After foveal reattachment, LogMAR was 0.16 (0.69). Final foveal thickness (mean 109 μm) was thinner than that of initial presentation (151 μm) and unaffected fellow eye (144 μm). Thicker initial foveal thickness compared with fellow eyes had good visual prognosis of 1.0 or more (p = 0.0046). Final visual acuity correlated with initial (r = –0.73) and final (r = –0.81) foveal thickness. Conclusions: Foveal thickness can be a factor predictive of visual outcome in patients with persistent central serous chorioretinopathy.