Multimodal Imaging Evaluations of Focal Choroidal Excavations in Eyes with Central Serous Chorioretinopathy
Table 2
Fundus and angiographic characteristic of eyes with FCEs associated with CSC.
Patient
FP
FAF
FA
ICGA
OCTA
MSI
FCE
Correlation between FCE and leakage/hyper area
FCE
Surrounding choroidal hyperpermeability
FCE
Surrounding increased flow
1
Yellowish
Hyper
Hypo
Within leakage point
Hypo
Yes (vessel dilation)
Dark
Yes
NA
2
Yellowish
Hypo
Within leakage
Within leakage point
NA
NA
NA
NA
NA
3
NA
NA
Slight WD
Adjacent to granular hyper
NA
NA
NA
NA
NA
4
Yellowish
Hypo
Hypo surrounding WD
Within leakage point
NA
NA
NA
NA
NA
5
Yellowish
NA
Slight WD
Within leakage point
NA
NA
NA
NA
NA
6
PM
Hypo
Slight WD
Adjacent to leakage point
NA
NA
NA
NA
NA
7 (OD)
Yellowish
Hypo
Within granular hyper
Within granular hyper
Hypo
Yes (vessel dilation)
Dark
Yes (slight)
Well-defined black
(OS)
Reddish
Hypo
Stippled WD
Hypo
Yes (vessel dilation)
Dark
Yes
Blurred grayish
8
Yellowish
Mixed
Slight WD
Adjacent to hyper area
Hypo
Yes
NA
NA
NA
9
Yellowish
Mixed
WD
Within granular hyper
Hypo
Yes
NA
NA
NA
10
PM
NA
Within granular hyper
Within granular hyper
Hypo
Yes (vessel dilation)
NA
NA
NA
11
PM
Hypo
WD
Extra leakage point
Hypo
Yes
Dark
Yes
NA
12
PM
Hypo
WD
Within granular hyper
Hypo
Yes (vessel dilation)
Dark
Yes
NA
PM
Hypo
WD
Within granular hyper area
Hypo
Yes (vessel dilation)
Dark
Yes
NA
13
Yellowish
Mixed
WD
Extra leakage point
Hypo
Yes
Dark
Yes
Blurred grayish
14
Yellowish
NA
Slight hypo
Within leakage point
NA
NA
Dark
Yes (slight)
NA
15
PM
Mixed
Hypo surrounding WD
Within granular hyper area
Hypo
Yes
Dark
Yes
Well-defined black
16
PM
Mixed
Within granular hyper
Within granular hyper area
NA
NA
Dark
Yes
Well-defined black
17 (OS)
Reddish
Slight hyper
Slight hypo
Adjacent to leakage point
Hypo
Yes
Dark
Yes
Blurred grayish
(OD)
Yellowish
Slight hyper
Slight hypo
Hypo
Yes
Dark
Yes
Blurred grayish
Yellowish
Slight hyper
Slight hypo
Hypo
Yes
Dark
Yes (slight)
Blurred grayish
NA = not available; PM = pigmentary mottling; WD = window defect; Hypo = hypofluorescence; Hyper = hyperfluorescence. Patient 7 had bilateral lesions (2 FCEs): the right eye with 1 FCE was concurrent with CSC, and the left eye with 1 FCE was asymptomatic. Patient 12 had two distinct lesions in the same eye concurrent with CSC. In patient 15, secondary choroidal neovascular network was visible on choriocapillaris slab of OCTA. Patient 17 had bilateral lesions (3 FCEs): the right eye with 1 FCE was concurrent with CSC, and the left eye with 2 distinct FCEs was asymptomatic. Dark area in OCTA means no blood flow signal. MSI: from 620 nm to 850 nm.