Central Serous Chorioretinopathy Occurring in Patients 50 years of Age and Older.

Seong, Youl Seok; Song, Ji Hoon; Lee, Sung Chul

Original Article

Journal of the Korean Ophthalmological Society 2003;44(8):1818-1827.
Published online August 1, 2003.

Central Serous Chorioretinopathy Occurring in Patients 50 years of Age and Older.

Youl Seok Seong, Ji Hoon Song, Sung Chul Lee

¹Department of Ophthalmology, Kangbuk Samsung Hospital, SungKyunkwan University College of Medicine, Korea.
²The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Korea. sunglee@yumc.yonsei.ac.kr

50세 이상에서 발생한 중심장액맥락망막병증의 임상적 고찰

성열석 ( Seong Yeol Seog ) , 송지훈 ( Song Ji Hun ) , 이성철 ( Lee Seong Cheol )

Abstract

PURPOSE
To assess the clinical characteristics of central serous chorioretinopathy in patients over 50 and be of help to diagnose it. METHODS: The medical records of 30 eyes of 24 patients diagnosed as central serous chorioretinopathy were reviewed retrospectively. We analyzed age, sex, visual acuity, and evaluated clinical features of fundus, characteristics of fluorescein angiography, indocyanine green angiography (ICGA), optical coherence tomography (OCT). RESULTS: The mean age was 55.4 years (50-69 years). 18 were male and 6 were female. Of the 30 eyes, 8 eyes were identified as classic central serous chorioretinopathy and 22 eyes were identified as chronic. On ICGA, 16 patients (76.2%) showed transient multifocal choroidal hyperpermeability bilaterally and 19 patients (90.5%) showed dilated choroidal vasculature bilaterally. Late hypofluorescence due to severe atrophy, hypertrophy, pigmentation, or small detachment of retinal pigment epithelium was noted in 22 eyes. On fellow eyes, retinal pigment epithelial degeneration was found in 15 eyes (79%). On OCT, serous retinal pigment epithelial detachment was noted in 10 eyes, serous retinal detachment in 25 eyes, and foveal thickening in 19 eyes. CONCLUSIONS: Central serous chorioretinopathy in patients over 50 was often associated with more degeneration of retinal pigment epithelium. ICGA and OCT are useful in diagnosing central serous chorioretinopathy in old ages.

Key Words: Central serous chorioretinopathy;Indocyanine green angiography(ICGA);Old age;Optical coherence tomography (OCT)