Case #20 – Central Serous Chorioretinopathy

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HeIdelberg Engineering SPECTRALIS® BluePeak™ FAF, FA, and OCT Images OD Note the correlation between the results on the BluePeak™ FAF, FA, and OCT. The PIL appears to be absent in roughly the same zone as the window defect in FA and the hypoautofluorescent zone in FAF.

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Heidelberg Engineering SPECTRALIS® Fluorescein Angiography and BluePeak™ Fundus Autofluorescence Images OD The window defect on fluorescein angiography appears to correspond to the hypoautofluorescent area revealed on the BluePeak™ Fundus Autofluorescence image. The inferior lesion is likely due to the damage associated with the long term accumulation of fluid inferior to the initial leakage which

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Heidelberg Engineering SPECTRALIS® OCT and Fluorescein Angiography images OD Note the correspondence of the window defect (which demonstrates loss of RPE) and the loss of the photoreceptor integrity line (PIL).

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Heidelberg Engineering SPECTRALIS® OCT and Fluorescein Angiography Images OD An OCT section through the large window defect as demonstrated on fluorescein angiography reveals abnormalities of several of the outer retinal layers.

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Heidelberg Engineering SPECTRALIS® OCT and Fluorescein Angiography Images OD A vertical section through the fovea reveals a similar clear fluid detachment of the neurosensory retina (serous RD).

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Heidelberg Engineering SPECTRALIS® OCT and Fluorescein Angiography Images OD Horizontal section superior to the macula reveals a clear fluid detachment of the neurosensory retina (serous RD). 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 Note this section depicts two large clear fluid detachments of the neurosensory retina (serous RD). The corresponding fluorescein angiography section appears unremarkable.

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Heidelberg Engineering SPECTRALIS® 55° Fluorescein Angiography Images OD This exemplary case of CSC is active and demonstrates multiple areas of leakage with fluorescein angiography.

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CASE 2 Heidelberg Engineering SPECTRALIS® OCT Movie OD with Fluorescein Angiograpy Note: Buttons at the bottom of the video provide frame-by-frame advancement control. Case 2: In contrast to the previous case, this case of CSC is active.

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Heidelberg Engineering SPECTRALIS® OCT Images OD An OCT section through the dark zones above reveal some mild RPE changes and subtle elevation of the overlying PIL (see red circle).

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