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Chronic 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 

Chronic CSR appears as granular RPE changes along with subretinal fluid and PED.

Fundus image showing granular RPE changes due to chronic CSCR
Fundus image showing granular RPE changes due to chronic CSCR


Optical coherence tomography

OCT shows central subretinal fluid with PED and visible with granular changes of the RPE, along with elongation of photoreceptor cells and increased the thickness of choroid and dilated of Haller's.


OCT cross-section showing chronic CSCR featuring subretinal fluids and RPE granular changes
OCT cross-section showing chronic CSCR featuring subretinal fluids and RPE granular changes

Fluorescein Fundus Angiography

FFA shows a granular hyper fluorescence in the early through late-phase along with subretinal dye pooling and under the RPE in late phases.

Early FFA phase showing granular hyperfluorescence
Early FFA phase showing granular hyperfluorescence 

Mid FFA phase showing the increased intensity of granular hyperfluorescence
Mid FFA phase showing the increased intensity of granular hyperfluorescence 

Late phase showing Mid FFA phase showing the increased intensity of granular hyperfluorescence with subretinal and sub RPE dye pooling
Late phase showing Mid FFA phase showing the increased intensity of granular hyperfluorescence with subretinal and sub RPE dye pooling



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



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