CLINICAL PROFILE, RISK FACTORS AND VISUAL OUTCOME IN PATIENTS OF ACUTE CENTRAL SEROUS CHORIORETINOPATHY IN A TERTIARY HEALTH CARE CENTRE IN NORTHERN INDIA.

Abstract

Central Serous Chorioretinopathy(CSCR) is predominantly idiopathic and self limiting macular disease . Present study was planned to determine clinical prole and the factors contributing in nal visual outcome in CSCR.. Retrospective observational study was done on 65 eyes of 53 patients over a period of 2 years. Their best corrected visual acuity(BCVA), color vision, metamorphopsia and mean central macular thickness(CMT) at presentation were compared with values at 6 months follow-up. Mean age of patients was 38 years ± 5.43 years. 79.24% patients were males and 77.36% had unilateral involvement. 30.19% patients gave history suggestive of one or more potential risk factors. The mean BCVA improved from 20/80 at presentation to 20/20 and 20/25 in patients with isolated and CSCR with PED respectively at 6 months. The mean CMT reduced signicantly in both isolated CSCR and when associated with PED at 6 months. Color vision defects in 46(70.77%) eyes and metamorphopsia in 49(75.38%) eyes at presentation persisted in 7(10.7%) eyes and 20(30.76%)eyes respectively at 6 months. Final visual outcome signicantly correlated with visual acuity at presentation. CONCLUSION: BCVA at presentation strongly predicts nal visual prognosis. Patients need to be counselled regarding persistence of color vision decits and metamorphopsia.