Indian Journal of Clinical and Experimental Ophthalmology


Retrospective study of central serous chorioretinopathy in females at tertiary care hospital


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Author Details: Anbuselvi Thirunavukkarasu, Sangamithira Madhiyalagan

Volume : 3

Issue : 1

Online ISSN : 2395-1451

Print ISSN : 2395-1443

Article First Page : 57

Article End Page : 60


Abstract

Background: Central serous chorioretinopathy (CSCR) is an exudative neurosensory retinal detachment. CSCR can be associated with or without a retinal pigment epithelium detachment. Most of the CSCR patients were found between 20 - 50 years of age. The incidence in male and female is approximately 6: 1. The mean annual age-adjusted incidences per 100000 females were 1.7 and per 100000 males were 9.9.
Aim and Objective: To study the predisposing factors, clinical features and outcome of CSCR in a female population.
Methods: Records of female patients (>20 years of age) who attended the retina clinic with a clinical diagnosis of CSCR between July 2015 to July 2016 were reviewed. Data collected include predisposing factors, visual acuity, Fundus Fluorescein angiographic features, optical coherence tomography features, time to resolution and final outcome.
Results: Data on 37 eyes of 37 patients were analyzed. Females comprised 21.4% of study population with CSCR. Mean age in females was 41.27 years (range 20-51 years) which was significantly greater (p<0.01) than that in males (mean age 32.76 years). Common predisposing factors were steroid use (24%), pregnancy (16%), and hypertension (11%). Ink blot leak was the commonest FFA finding (46%). Patients treated with LASER had faster and better visual recovery.
Conclusion: CSCR tends to occur in older women and time for resolution is more prolonged. Pregnancy and steroid usage are the important risk factors. Early FFA needed to identify the leaks for LASER treatment.

Keywords:
Central serous chorioretinopathy, Females, FFA finding, Risk factors, Steroid, pregnancy