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Graefe's Archive for Clinical and Experimental Ophthalmology
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology 2/2019

01-02-2019 | Retinal Disorders

Central serous chorioretinopathy in elderly subjects: angiographic and tomographic characteristics

Authors: Kunho Bae, Seung Wan Nam, Se Woong Kang, Eung Suk Kim, Seung-Young Yu, Kyung Tae Kim, Sang Jin Kim

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 2/2019

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Abstract

Purpose

To investigate the angiographic, tomographic, and clinical characteristics of idiopathic central serous chorioretinopathy (CSC) in elderly patients.

Methods

The patients were divided into two groups according to a cutoff age of 60 years at baseline. Patients underwent spectral domain optical coherence tomography, fluorescein angiography, and indocyanine green angiography. Angiographic and tomographic features were compared between the two groups (young vs. elderly group).

Results

Of 176 patients, 26 patients (15.1%) were 60 years or older. Complete resolution of subretinal fluid after treatment was noted in 72.0% of the elderly group and 90.8% of the young group (P = 0.021). The elderly group showed worse baseline and final vision, more bilateral involvement, and lower male preponderance than the young group (P < 0.05, respectively). The elderly group was also associated with a higher frequency of retinal pigment epithelium depigmentation, foveal thinning, and double-layer sign compared with the young group (P < 0.05, respectively).

Conclusion

CSC in elderly patients was associated with a lower resolution of serous detachment, increased impairment of retinal pigment epithelial layers, foveal thinning, and worse visual outcome, suggesting a chronic insult to the choroidal vessels involving more severe damage to the outer retinal layers.
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Metadata
Title
Central serous chorioretinopathy in elderly subjects: angiographic and tomographic characteristics
Authors
Kunho Bae
Seung Wan Nam
Se Woong Kang
Eung Suk Kim
Seung-Young Yu
Kyung Tae Kim
Sang Jin Kim
Publication date
01-02-2019
Publisher
Springer Berlin Heidelberg
Published in
Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 2/2019
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-018-4201-8

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