Fig. 2: Multimodal imaging of a 54-year-old male patient with chronic CSC.
From: Treatment of central serous chorioretinopathy: new options for an old disease
Colour fundus photography shows macular serous elevation and pigmentary abnormalities, some of which correspond to the areas of leakage seen on FA (A). OCT demonstrates SRF, flat irregular PED and photoreceptor outer segment atrophy. Diffuse severe choroidal thickening with dilated veins in Haller’s layer and choriocapillaris attenuation below the flat irregular PED are present (B). Fundus autofluorescence shows mostly hyperautofluorescent abnormalities, “fluid track”, associated with RPE atrophy induced by the chronic presence of SRF (C). Focal areas of hyperfluorescent leakage are seen on FA (D). Dilated choroidal vessels and choroidal vascular hyperpermeability are evident on ICGA (E). CSC central serous chorioretinopathy, FA fluorescein angiography, ICGA indocyanine green angiography, OCT optical coherence tomography, PED pigment epithelial detachment, RPE retinal pigment epithelial, SRF subretinal fluid.
