Fig. 4: Multimodal imaging of a 56-year-old male patient with bullous CSC.
From: Treatment of central serous chorioretinopathy: new options for an old disease
At initial presentation, the right eye shows macular serous elevation on colour fundus photography (A) and SRF involving the fovea and focal PED on OCT (B), which corresponds to a hypo-autofluorescent area on FAF (C). The left eye shows RPE alterations on colour fundus photography (D) and large dome-shaped PED on OCT (E), corresponding to a hyperautofluorescent area on FAF (F). One year after focal laser treatment in the right eye, macular pigmentary changes are visible on wide fundus photography (G), with complete resolution of SRF on OCT (H). Wide FAF shows mostly hyperautofluorescent changes due to RPE stress induced by chronic presence of SRF and perifoveal hypofluorescent spots due to laser scars and RPE clumping (I). Meanwhile, the left eye developed bullous CSC. Wide fundus photography shows the bullous elevated retina inferiorly (J). OCT image demonstrates a moderate amount of turbid subfoveal SRF and large PED (K). Wide FAF shows mostly hyperautofluorescent changes reaching the peripheral lesion (L). CSC central serous chorioretinopathy, FAF fundus fluorescein angiography, OCT optical coherence tomography, PED pigment epithelial detachment, RPE retinal pigment epithelial, SRF subretinal fluid.
