Central Serous Chorioretinopathy: Multimodal Imaging and Management Options

Figure 10

Chronic central serous chorioretinopathy treated with photodynamic therapy (PDT). A 35-year old male presented with 6 months of visual distortion in the left eye, although visual acuity was 20/20. (The amount of metamorphopsia was not formally measured.) He had tried 50 mg of eplerenone daily for over one month without improvement. (a) Fundus photography showed pigment changes and a pigment epithelial detachment (PED). (b) Fundus autofluorescence showed an area of hyperautofluorescence corresponding to the PED. (c) Early-phase fluorescein angiography (FA) showed a faint area of leakage in the macula. (d) Late-phase FA showed increased leakage in the macula. (e) Optical coherence tomography prior to and (f) after half-fluence PDT showed resolution of the PED. Visual acuity remained 20/20 and the patient reported subjective improvement.

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