CHOROIDAL CHANGES ASSOCIATED WITH SEROUS MACULAR DETACHMENT IN EYES WITH STAPHYLOMA, DOME-SHAPED MACULA OR TILTED DISK SYNDROME

Anna C S Tan, Suzanne Yzer, K Bailey Freund, Kunal K Dansingani, Nopasak Phasukkijwatana, David Sarraf

Research output: Contribution to journalArticleResearchpeer-review

Abstract

PURPOSE: To study the relationship of choroidal abnormalities with serous retinal detachment (SRD) in eyes with staphyloma, dome-shaped macula, or tilted disk syndrome.

METHODS: Group 1, 28 eyes of 20 patients with staphyloma/dome-shaped macula/tilted disk syndrome associated with SRD was compared with Group 2, 30 eyes of 20 patients, with staphyloma/dome-shaped macula/tilted disk syndrome but without SRD. Radial and en-face optical coherence tomography and choroidal analysis were performed.

RESULTS: Group 1 had a thicker mean subfoveal choroidal thickness (161 μm vs. 92 μm, P < 0.05) and a greater variation in choroidal thickness (112 μm vs. 76 μm, P > 0.05) compared with eyes of Group 2. Focal abrupt changes in choroidal thickness were more commonly seen in Group 1 versus eyes in Group 2 (90% vs. 30%, P < 0.05) and this area of abrupt change was located within or at the edge of the SRD in 64% of eyes. Large choroidal vessels (pachyvessels) (82% located within the area of SRD) were always associated with the presence of SRD.

CONCLUSION: An abrupt transition in choroidal thickness may be involved in the pathogenesis of SRD. In some cases, a radial scan pattern may better demonstrate mild SRD, choroidal contours and the focal choroidal variations than horizontal or vertical raster scan patterns.

Original languageEnglish
Pages (from-to)1544-1554
Number of pages11
JournalRetina
Volume37
Issue number8
DOIs
Publication statusPublished - Aug 2017

Keywords

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Choroid/pathology
  • Choroid Diseases/diagnosis
  • Cross-Sectional Studies
  • Disease Progression
  • Female
  • Fluorescein Angiography
  • Fundus Oculi
  • Humans
  • Macula Lutea/pathology
  • Male
  • Middle Aged
  • Optic Disk/pathology
  • Optic Nerve Diseases/complications
  • Retinal Detachment/complications
  • Retrospective Studies
  • Scleral Diseases/complications
  • Syndrome
  • Tomography, Optical Coherence/methods
  • Visual Acuity
  • Young Adult

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