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Medical Principles and Practice. 2011; 20 (3): 283-286
en Inglés | IMEMR | ID: emr-110229

RESUMEN

This study was designed to investigate the value of 3-D optical coherence tomography [3-D OCT] combined with fundus photochromy in the diagnosis of acute central serous chorioretinopathy [CSCR]. 3-D OCT and fundus photochromy were performed on 30 patients [36 eyes] with acute CSCR. Fluorescein angiography [FA] was also performed to confirm the diagnosis and to obtain the fluorescein leakage sites. 22 eyes presented neurosensory retinal detachment determined by 3-D OCT [28 leakage spots], 1 eye showed retinal pigment epithelium [RPE] detachment [2 leakage spots], and 13 eyes showed both neurosensory and RPE detachment [17 leakage spots]. 3-D OCT showed significant changes in the RPE in 36 of 47 leakage spots [76.6%]. Fundus photochromy showed white-gray changes in 22 of the 47 leakage spots [59.6%]. 47 leakage spots were identified by FA in 36 eyes. The combination of 3-D OCT and fundus photochromy identified 42 of the 47 leakage spots [89.4%] spotted by FA. A combination of 3-D OCT and fundus photochromy offered a high identification rate of the leakage spots. The combination of the two noninvasive techniques may be used as an alternative diagnostic or evaluation tool for acute CSCR


Asunto(s)
Humanos , Tomografía de Coherencia Óptica/métodos , Angiografía con Fluoresceína/métodos , Enfermedades de la Retina/diagnóstico , Vasos Retinianos/patología , Exudados y Transudados
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