Central Serous Chorioretinopathy: Multimodal Imaging and Management Options

Figure 14

Chronic central serous chorioretinopathy of the right eye with secondary choroidal neovascularization (CNV). A 53-year old female with chronic central serous chorioretinopathy presented with worsening subretinal fluid. Using swept source optical coherence tomography angiography (SS-OCTA–PLEX Elite 9000, Carl Zeiss Meditec, Dublin, CA) scans were performed; shown is the slab between the retinal pigment epithelium (RPE) and Bruch’s membrane. (a) En face angiography showed the presence of type 1 choroidal neovascularization (CNV). (b) En face structural imaging showed the RPE elevation due to underlying CNV. (c) B-scan demonstrated subretinal fluid. The presence of a pigment epithelial detachment was seen, with increased flow (green) within the detachment indicating increased choroidal flow in the presence of CNV. The sclerochoroidal junction (yellow dashes) was highlighted to demonstrate the thick choroid. OCT prior to (d) and after (e) anti-vascular endothelial growth factor injections showed improvement of subretinal fluid.

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