| Clinical and Fluorescein Angiographic Studies on the Central Serous Retinopathy. |
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Chul Hong, Bong Cheul Kim |
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Department of Ophthalmology, School of Medicine, Hanyang University, Seoul, Korea. |
| 중심성 망막염의 임상적 및 형광안저소견에 대한 고찰 |
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홍철 , 김봉철 ( Chul Hong , Bong Chul Kim ) |
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| Abstract |
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The author investigated the distribution of sex and age, site of affected eye, numbers of leaking point, recurrent rate and detached size, leaking site, onset and visual acuity of each type of 104 cases of retinal fluorescein angiographic findings of central serous retinopathy of Ophthalmic Department of Hanyang University Hospital from April 1978 to March 1979. Each type according to the leaking pattern on fluorescein angiography are characteristically 'classified as follows: Type A; Leaking point was unremarkable (C.S.R. clinically). Type B; Leaking point appeared at early arterial phase and increased in density gradually but the size of leaking area was not changed (R.P.E. detachment). Type C; Leaking point appeared at early arterial phase and increased concentrically in the density and size (round serous detachment). Type D; Leaking point appeared at early arterial phase and increased vertically in the density and size (mushroom-shaped serous detachment). Type E; Retinal hyperfluorescent was appeared at early arterial phase but gradually fade out (scar formation). The results are as follows: 1) Male was more frequently affected (94.2%). 2) Third and fourth decades were more frequently affected (89.2%). 3) Unilateral involvement was noted (94.2%) without difference of both eyes. 4) In each eye, one leaking point was most frequently observable (65.9%). 5) The recurrent rate was frequently observable on fluorescein angiographic findings (40.4%). 6) The detached size of type B was limitted under the one disc diameter and the detached size of type C and D especially type D was more larger than type B. 7) The site of leaking point had tendency to be located superiorly without significant differences of each type (superior area; 43.6%, macular area; 38.4%, and inferior area; 17.8%). 8) Comparing the onsets of each type, type D and A could be seen within 3 months, and type B could be observable within six months, but the other types could be found from one week to over one year. 9) In general, the visual acuity was severely disturbed in type D rather than the other types. And the visual disturbance was remarkable in the case of macular involvement and large serous detachment. |
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