Optical Coherence Tomography Angiography in Central Serous Chorioretinopathy

Figure 4

Central serous chorioretinopathy (CSC) complicated by choroidal neovascularization (CNV) in a 59-year-old woman. Multimodal imaging showing the correlation between fundus autofluorescence (FAF (a)), fluorescein angiography (FA (b)), indocyanine green angiography (ICGA (c) and (d)), and OCT angiography (OCTA (e), (f), (g)) with coregistered OCT B-scans showing the level of segmentation (e′, f′, g′). Chronic CSC with pigmentary changes and areas of hyperautofluorescence, uneven leakage of fluorescein, and dilated choroidal vessels ((a) to (c)) and presence of a choroidal neovascular membrane in the late phase of ICGA (d). Automatically segmented outer retina OCTA, showing a very moderate hyperdense signal (e). Manually segmented outer retina OCTA, detecting a hyperdense signal corresponding to a discrete blood flow (f). Automatically segmented choriocapillaris OCTA showing a hyperdense signal that highlights a tangled lesion with a typical neovascular network.