Case #20 – Central Serous Chorioretinopathy

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Heidelberg Engineering SPECTRALIS® OCT and Fluorescein Angiography Images OD October 2007 An OCT section through the macula reveals a clear fluid detachment of the neurosensory retina (serous RD) and PED (see red circle).

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Heidelberg Engineering SPECTRALIS® Fluorescein Anglography Images OD Early phase fluorescein angiography reveals two hyperfluorescent spots which continually leak and increase in size 10 minutes into the FA.

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CASE 4 Heidelberg Engineering SPECTRALIS® Fluorescein Angiography Movie OD Note: Buttons at the bottom of the video provide frame-by-frame advancement control. Case 4: This short movie demonstrates the various phases of fluorescein angiography up to laminar flow in the veins.

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Heidelberg Engineering SPECTRALIS® BIuePeak™ Fundus Autofluorescence and Infrared Images OD “Hot spots” corresponding to the hyperautofluorescent spots in the BIuePeak™ FAF indicate an increase in both metabolic activity and lipofuscin. In contrast, the IR image fails to reveal this abnormality.

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Heidelberg Engineering SPECTRALIS® OCT and Fluorescein Angiography Images OD A horizontal slice through the fluorescein leak. As seen in the previous case, the dots (see arrows) are edema residues (granular/fibrinous material in the subretinal cavity).²

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Heidelberg Engineering SPECTRALIS® OCT and Fluorescein Angiography Images OD The OCT section immediately below the fluorescein leak reveals a clear fluid detachment of the neurosensory retina (serous RD).

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Heidelberg Engineering SPECTRALIS® Fluorescein Angiography Images OD Note the hyperfluorescent zone superior to the fovea increases in size in the later phases of fluorescein angiography. The OCT section immediately below the fluorescein leak reveals a clear fluid detachment of the neurosensory retina (serous RO).

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CASE 3 Heidelberg Engineering SPECTRALIS® OCT Fluorescein Angiography Image Movie OD Note: Buttons at the bottom of the video provide frame-by-frame advancement control. Case 3: Another case of CSC involving the right eye.

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Heidelberg Engineering SPECTRALIS® BluePeak™ FAF, FA, and OCT Images OD Although fluorescein anglography appears normal In the area depicted, the OCT reveals an apparent collapse of the outer retinal layers and PIL. In the same corresponding zone in FAF, an area of subtle hyperautofluorescence is revealed.

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