Exploring central serous chorioretinopathy: Insights from a series of pigment epithelial detachment cases

Abstract

ABSTRACT Aim: This study aimed to investigate central serous chorioretinopathy (CSCR) by analyzing clinical patterns using spectral-domain optical coherence tomography (SD-OCT). Methods: A retrospective study on individuals diagnosed with CSCR was conducted at the Gitam Institute of Medical Sciences and Research between January 2022 and December 2022. Comprehensive medical and ocular histories were documented, including best-corrected visual acuity, slit-lamp examination, indirect ophthalmoscopy, and SD-OCT analysis. Macular thickness and the presence of pigment epithelial detachments (PED) were carefully recorded, while patients with other macular conditions were excluded. Results: The study comprised nine patients (nine eyes) aged 31 to 48 (mean age: 41.33). Of these, seven were male (77.78%), and two were female (22.22%). Three cases (33.33%) affected the left eye, while six (66.67%) involved the right eye—the mean macular thickness measured 502.56 μm, from 406 to 819 μm. Notably, five out of the nine eyes exhibited PEDs. Among these cases with PED, four of the five eyes demonstrated macular thickness exceeding 482 μm, with only one eye measuring 406 μm in thickness. Conclusion: CSCR predominantly affects males at an average age of 41. The integration of SD-OCT with indirect ophthalmoscopy is imperative for comprehending CSCR patterns. The substantial variation in macular thickness underscores the necessity for individualized assessment and treatment strategies. The presence of PED correlates with heightened macular thickness, potentially influencing recovery duration and visual acuity outcomes. While this study contributes to the existing knowledge base, further extensive research is essential to validate and enhance our understanding of CSCR.