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Acute Central Serous Chorioretinopathy fundus image, OCT and FFA in a nutshell

CSCR is a spectrum of pachychoroid FFA, OCT, and Fundus image can aid in the diagnosis and the follow-up.

 

Fundus image


PED can present in CSR, which appears as the yellowish rounded elevation of RPE beneath or adjacent to subretinal fluid.

Fundus image of acute CSCR case
Fundus image of acute CSCR case



Optical Coherence Tomography 


OCT shows central subretinal fluid with PED and Bruch’s membrane increased reflectivity featuring double-layered sign, elongation of photoreceptor cells, and increased thickness of choroid and dilated of Haller's forming pachychoroid.

OCT cross-section of acute CSCR showing subretinal fluid, PED and pachychoroid
OCT cross-section of acute CSCR showing subretinal fluid, PED and pachychoroid


Fluorescein Fundus Angiography


FFA shows a hyper fluorescence with the smokestack, or hot spot signs can indicate acute CSR, along with subretinal or Sub RPE dye pooling.

Early phase FFA showing early hyperfluorescence sub RPE
Early phase FFA showing early hyperfluorescence sub RPE

Mid phase FFA showing early ascending hyperfluorescence from smokestack
Mid phase FFA showing early ascending hyperfluorescence from the smokestack leak

Late phase showing Smokestack leakage with sub RPE and subretinal dye pooling
Late phase showing Smokestack leakage with sub RPE and subretinal dye pooling


Please check Clinical guidelines for CSCR and course of clinical changes in RPE

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