| Choroidal Ne ovascularization in Patients with Chronic Central Serous Chorioretinopathy. |
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Hyung Chan Kim, Ha Kyoung Kim |
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Department of Ophthalmology, Kangnam Sacred Heart Hospital, Hallym University Medical College. |
| 만성중심성장액맥락망막병증 환자에서의 맥락막신생혈관 |
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김하경(Ha Kyoung Kim),김형찬(Hyung Chan Kim) |
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| Abstract |
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Chronic central serous chorioretinopathy[CSC], which also has been termed diffuse retinal pigment epitheliopathy, is defined as a sensory retinal detachment associated with areas of RPE atrophy and pigment mottling. Fluorescein angiographic finding includes areas of granular hyperfluo-rescence and one or many subtle leaks. In older age group, choroidal neo-vascularization[CNV]may develop as a complication. We investigated the clinical features and performed fluorescein angiography[FAG], indocyanine green[ICG]angiography in 10 patients with CNV among 32 patients with chronic CSC. The location of CNV was extrafoveal[3 eyes]and juxtafoveal[7 eyes]. Associated fundus findings were RPE atrophy[8 eyes], PED[5 eyes], serous RD[4 eyes], subretinal hemorrhage[4eyes]. ICG findings were hypo-fluorescence[8 eyes], choroidal hyperpermeability[7 eyes], choroidal delayed filling[5 eyes]. Choroidal neovascularization was identified only with ICG angiography in 6 out of 10 cases. Laser photocoagulation was performed using ICG angiography in 6 cases. Visual acuity was improved in 4 out of 10 cases, and unchanged in 3 out of 10 cases. Therefore, we suggest that ICG angiography may be used as an important device for the diagnosis and management of CNV in patients with chronic CSC. Visual prognosis of CNV in chronic CSC seems to be relatively good. |
| Key Words:
Chronic CSC;CNV;Diffuse retinal pigment epitheliopathy;ICG angiography |
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