Central Serous Chorioretinopathy: Multimodal Imaging and Management Options

Figure 15

Chronic central serous chorioretinopathy of the right eye with secondary choroidal neovascularization (CNV). A 59-year old male with a history of inhaled triamcinolone use for asthma presented with worsening vision. Using swept source optical coherence tomography angiography (SS-OCTA – PLEX Elite 9000, Carl Zeiss Meditec, Dublin, CA), scans were analyzed; 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. (b) En face structural imaging showed RPE elevation causing shadowing. (c) B-scan demonstrated cystoid macular edema, with increased flow (green) indicating increased choroidal flow in the presence of CNV. The sclerochoroidal junction (yellow dashes) was highlighted to demonstrate the thick choroid. (d, e) OCT prior to and after anti-vascular endothelial growth factor injections showed improvement of intraretinal fluid and hyperreflective material.

(a)

(b)

(c)

(d)

(e)