CHOROIDAL THICKNESS CHANGES IN A PATIENT DIAGNOSED WITH CENTRAL SEROUS CHORIORETINOPATHY DURING FOLLOW-UP FOR PACHYCHOROID PIGMENT EPITHELIOPATHY.

Retinal Cases & Brief Reports
Wataru SaitoSusumu Ishida

Abstract

To evaluate chronological changes in choroidal thickness in a patient with pachychoroid pigment epitheliopathy (PPE) who was later diagnosed with central serous chorioretinopathy (CSC) during follow-up. Case report. A 43-year-old man complained of metamorphopsia in the left eye. Funduscopy showed several punctate white subretinal lesions at the macula, but no macular serous retinal detachment in the left eye. Retinal pigment epithelium abnormality without serous retinal detachment at the macula on optical coherence tomography and choroidal vascular hyperpermeability on indocyanine green angiography suggested PPE in the left eye. Macular lesions disappeared with no treatment. Twenty-five months after the initial visit, PPE recurred in the left eye. Thirty-five months after the initial visit, the patient was diagnosed with CSC in the left eye. Macular serous retinal detachment spontaneously resolved. In the eye with PPE and CSC, the choroid was consistently thicker than that in the fellow eye during follow-up. The choroid became thicker during the alternate onsets of PPE and CSC and thinner after regression of these diseases. These results suggest that PPE and CSC overlap clinically and choroidal thickening is involved in the pat...Continue Reading

References

Mar 28, 2013·The British Journal of Ophthalmology·Michiyuki SaitoSusumu Ishida
Jun 12, 2013·Retina·David J WarrowK Bailey Freund
Aug 26, 2014·Investigative Ophthalmology & Visual Science·Claudine E Pang, K Bailey Freund
Nov 7, 2015·Scientific Reports·Masahiro MiyakeNagahisa Yoshimura

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Citations

Nov 6, 2018·Clinical & Experimental Ophthalmology·Jiwon BaekWon Ki Lee
Mar 22, 2019·Journal of Ophthalmology·Selim BolukbasiZekiye Nur Asik

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