Pattern of Central Serous Chorioretinopathy (CSCR) on Fundus Fluorescein Angiography

Abstract

Purpose: To study the pattern of central serous chorioretinopathy (CSCR) on fundus fluorescein angiography (FFA).

Material and Methods: The hospital based descriptive study of 30 patients was conducted at the Department of Ophthalmology Chandka Medical College and
Hospital Larkana, from December 2003 to February 2008. The patients were selected from the retina clinic. After history and complete ocular examination the
clinical diagnosis of CSCR was established. The fundus photographs and fluorescein angiography was done in all the 30 patients. Before injecting fluorescein, test dose was given and pupils were dilated with tropicamide 1% and phenylepherine 10%. Injection fluorescein sodium 25% 3ml i.e 250 mg/ml was given intravenously and multiple photographs were taken by the digital fundus camera. The patterns of CSCR on fundus fluorescein angiography were observed and notified.

Results: In this hospital based descriptive study of 30 patients of CSCR 27 were male (90%) and 03 were female (10%). The patients between 20-55 years of age were presented, with a mean age of 35.4 years. 26 patients had unilateral and 04 with bilateral disease. Number of eyes was 34. All patients presented with blurred vision, positive relative central scotoma and dome shaped elevation at the macula. The duration of visual disturbances on presentation was three days to three months. On fundus fluorescein angiography of 30 patients hyper-fluorescence with ink-blot appearance was seen in 23 eyes (67.64%) and smoke-stack appearance in 11 eyes (30.35%).

Conclusion: Ink-blot pattern is more frequently seen in CSCR on fundus fluorescein angiography.