The Clinical Evaluation of Atypical Idiopathic Central Serous Chorioretinopathy.

Ahn, Dong Gyun; Kang, Se Woong

Original Article

Journal of the Korean Ophthalmological Society 2000;41(3):691-700.
Published online March 1, 2000.

The Clinical Evaluation of Atypical Idiopathic Central Serous Chorioretinopathy.

Dong Gyun Ahn, Se Woong Kang

Department of Ophthalmology, College of Medicine, Chungbuk National University.

비정형 특발성 중심성장액맥락망막병증의 임상적 고찰

안동균(Dong Gyun Ahn),강세웅(Se Woong Kang)

Abstract

Atypical idiopathic central serous chorioretinopathy[ICSC] is a rare disease which is characterized with a bullous retinal detachment and may progress permanent visual loss due to subretinal fibrosis. The authors studied epidemiologic characteristics, efficacy of laser photocoagulation for visual prognosis and duration of serous detachment in 12 patients[17 eyes]with atypical ICSC and in 29 patients[31 eyes]with ICSC. Male predominance was noted in both groups. Bilateral involvement and poor final visual acuity were more prevalent in patient with atypical ICSC[p<0.05], which tends to develop in older age[p=0.128]. Laser photocoagulation shortened the duration of serous detachment in both groups, and improved the final visual outcome in patients with atypical ICSC[p<0.05]. There was no correlation between the duration of ICSC and the extent of serous detachment. In conclusion, more prevalent bilateral involvement and worse visual outcome were the features of atypical ICSC, but laser photocoagulation was effective to improve the final visual outcome and to shorten the duration of the disease.

Key Words: Atypical ICSC;Duration of serous detachment;Laser photocoagulation;Visual acuity