Abstract

SANTANA ALAS, Eva R et al. Anatomical and functional alterations detected by optical coherence tomography and microperimetry in the acute central serose chorioretinopathy. Rev Cubana Oftalmol [online]. 2010, vol.23, suppl.1, pp. 504-512. ISSN 1561-3070.

OBJECTIVE: To determine the functional and anatomical alterations of the retina in patients with acute central serous chorioretinopathy. METHODS: Cross-sectional observational study of 24 eyes (24 patients) with acute unilateral central serous chorioretinopathy. Snelle´s chart, microperimetry and optical coherence tomography was used and the central macular thickness was estimated. RESULTS: The best average corrected visual acuity was 0.5. All the cases presented with neurosensoral serous detachment and pigmentary epithelium detachment was found in 29.8%. The average retinal thickness according to the optical coherence tomography figures was 388.2 ± 112 µm. The average total macular sensitivity was 11.9 ± 5.2 dB, with central macular sensitivity (2o) of 10.9 ± 4.87 dB. There were no significant differences between them (p= 0.23). Central sensitivity and macular thickness were inversely correlated (r=-0.76), which is statistically significant; however, this did not occur in the correlation between the total macular sensitivity and the macular thickness (r = -0.68). The location of fixation was central in 86.9% and predominantly central in 13,1 % of patients .Stable fixation was found in 91.3 % whereas the relatively unstable was present in 8.7 %. CONCLUSIONS: In central acute serous chorioretinopathy, the macular sensitivity is affected and is related with the retinal thickness. Location and stability of the fixation are central and stable in general.

Keywords : acute central serous chorioretinopathy; pigmentary epithelium of the retina; optical coherence tomography; microperimetry.

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