References:M.D. Ober, C.M Eandi, L.M Jampol, H.F Fine, L.A. Yannuzzi. Focal Retinal Pigment Epithelium Breaks in Central Serous Chorioretinopathy. Retinal Cases & Brief Reports 2007; 1; 271-273M. V. Kalayoglu. Preferential Hyperacuity Perimetry (PHP) as an Adjunct Diagnostic Tool to Funduscopy in Age-related Macular Degeneration. Ophthalmology/Web CommunityAlster Y, Bressler NM, Bressler SB, et al., Preferential Hyperacuity
Acknowledgments Sanjeev Nath Yuliya Bababekova Gary Solomon
Jerome Sherman, O.D., is perhaps optometry's most prolific writer, publishing over 650 clinical articles, research manuscripts, book chapters and two CDs. He is senior author of three books that were published in 2007, and has delivered over three thousand lectures both nationally and internationally. He has served as a contributing editor for several optometric
The following is a list of links to the companies and contributors of Complications of Central Serous Chorioretinopathy: TopCon Medical http://www.topconmedical.com PHP http://www.sightpathmedical.com Electro-Diagnostic Imaging, Inc. http://www.veris-edi.com
Exemplary Case of CNV Using the PHP FA reveals leakage inferior to fovea. Laser could be applied to destroy the choroidal neovascularization membrane without injury to the fovea.
Exemplary Case of CNV Using the PHP 3 mirror lens examination reveals small hemorrhages and subretinal fluid inferior to the fovea.
Exemplary Case of CNV Using the PHP
Exemplary Case of CNV Using the PHP History/Chief Complaints Asymptomatic 70 year old white female Clinical Findings BCVA: OD 20/25 and OS 20/25 Amsler grid: Normal PHP: Hyperacuity disturbance pattern was demonstrated. Since the disturbance pattern was in the superior visual field, the corresponding fundus lesion should be inferior to the fovea. 3 mirror
Exemplary Case of Complications of Central Serous Chorioretinopathy History/Chief Complaint41 year old male with very poor vision in the right eye with a several year history of central serous chorioretinopathy.Clinical findingsBCVA: OD 1/400 and OS 20/20Fundus Exam: Fibro-glial scar nasal to fovea OD and edema residues inferior to macula secondary to CNV.OCT
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 SD OCTs. PIL, as shown above, should be continuous throughout the entire scan in normal eyes. The PIL/junction can be considered a mere artifact that