Case #20 – Central Serous Chorioretinopathy

Histological Section as Compared to the OCT Image  Although the photoreceptor integrity line, or the PIL (defined as the junction between the inner and outer segments) is barely visible in most histological sections, it is highly prominent in normal SD OCTs. The PIL, as shown above, should be continuous throughout the entire scan

Heidelberg Engineering SPECTRALIS® BluePeak™ Fundus Autofluoresence OD BIuePeak™ blue laser Fundus Autofluoresence OD reveals subtle scattered dark zones (see white circle). Such hypoautofluorescence is believed to be due to a decrease of lipofuscin secondary to the loss of the RPE cells. The fovea appears normal with FAF. In contrast, one of the next

Heidelberg Engineering SPECTRALIS® OCT Grayscale Wide-field OS

Heidelberg Engineering SPECTRALIS® OCT Wide-field OS Widefield image OS without pupillary dilation does not reveal similar findings. With a dilated pupil this technique is capable of imaging far larger areas of the fundus.

Heidelberg Engineering SPECTRALIS® OCT Wide-field OD Widefield image OD without pupillary dilation reveals some additional pigment changes (see white circles).

Heidelberg Engineering SPECTRALIS® OCT Thickness Map Comparison OD Comparison map OD reveals no significant change in the difference analysis over the 2 year period.

Heidelberg Engineering SPECTRALIS® OCT RNFL OS The RNFL is also normal OS.

H&delberg Engineering SPECTRALIS® OCT RNFL OD The RNFL is normal OD.

Heidelberg Engineering SPECTRALIS® OCT ComparIson Images OS The bottom image was taken 2 years after the top image. Comparison of the two horizontal sections through the RD reveals the RD had regressed somewhat over the 2-year period.

Heidelberg Engineering SPECTRALIS® OCT Follow up Images OS An identical slice through the RD about 2 years later.