Clinical Study on Central Serous Chorioretinopathy

Author(s): Savithiri Viswanathan1 , Thendral Velmurugan2

BACKGROUND CSCR is a pachychoroid spectrum of disorders and fourth common retinopathy which is characterised by serous detachment between neurosensory retina and RPE. Central serous chorio retinopathy, age- and sex-distribution, duration of symptoms, common FFA and OCT patterns, pre- and post-treatment macular thickness in the study group and control group were studied. This study emphasises the importance of early treatment with laser in perifoveal leakage for faster resolution of macular oedema and for better visual outcome. METHODS A randomized cross-sectional interventional study on cases of central serous chorioretinopathy seen in Regional Institute of Ophthalmology, Chennai, was conducted between January 2019 and June 2019. Patients with perifoveal leakage were subdivided into two groups by randomization, first group was treated with argon laser photocoagulation and the second group was observed. RESULTS In this study, prevalence was more among males than among females. Most common presenting symptom was defective vision with metamorphopsia. Ink blot pattern was the most common in FFA. The improvement of visual acuity and reduction in macular oedema was more in laser treatment group than the observation group in patients with perifoveal leakage. CONCLUSIONS Early treatment with laser photocoagulation shows promising early reduction in macular thickness than late or no treatment in patients with perifoveal leakage.