Central Serous Chorioretinopathy: Multimodal Imaging and Management Options

Figure 9

Chronic central serous chorioretinopathy treated with thermal photocoagulation. A 17-year old male presented with blurred vision of the right eye for nine months. Visual acuity was 20/50 in the right eye. (a) Fundus photography showed pigment changes and subretinal fluid in the right eye. (b) Fundus autofluorescence showed hyperautofluorescence of the macula, corresponding to the subretinal fluid seen clinically. (c, d) Early-phase fluorescein angiography (FA) and indocyanine green angiography (ICGA) showed focal hyperfluorescence corresponding to the inferior edge of the fluid seen clinically. (e) Late-phase FA showed leakage in the inferior macula, noted by the yellow arrow. (f) Late-phase ICGA confirmed the leakage, noted by the yellow arrow. Thermal photocoagulation was chosen because of the young age and extrafoveal focal leakage. Yellow arrows indicate where thermal laser was applied. (g, h) Optical coherence tomography before (g) and one month after (h) thermal photocoagulation showed decrease in subretinal fluid (measured in μm) and improvement in central macular thickness. Visual acuity improved to 20/40+. The patient was then lost to follow-up.

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