Transcript ICGA - Medicinski fakultet Rijeka

Central Serous
Chorioretinopathy
rare but typical changes
Dr Edi Ladavac
Department of Ophthalmology
General Hospital, Pula
Classical pattern
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Age ( 20-50 years old)
Predominatly male
Localization (one eye)
FAG (pinpoint laekege, blister formation)
Treatment (corticosteroids!!!?????)
Natural course (visual prognosis)
CSC
ICGA
indocyanine green angiography
• Choroidal circulation
• Hyperfluorescence in the early phase
( hot spot ).
Hypofluorescence in the late phase
• “occult” PED
• Changes in the normal retina and in other
eye
ICGA
New clinical picture
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PED
Diffuse RPEpitheliopathy
Lesions in the both eyes
Chronic course
PED
PED
PED
PED
PED
Diffuse RPEpitheliopathy
Diffuse RPEpitheliopathy
Changes in the both eyes
Changes in the both eyes
Chronic changes
Chronic changes
Chronic changes
Central serous chorioretinopathy
• Age ( 20 - 80 years old)
• Localization (both eyes)
• FAG (pinpoint or diffuse decompensation
of RPE + PED)
• Treatment (NO corticosteroids)
• Natural course (acute and chronic disease)