Summary and Conclusions

  • Although the CSC appears inactive at present, careful follow-up is advisable to detect recurrences and/or complications of CSC. The recent symptoms and changes in the SD OCT appear to be due to pigment migration, a finding often encountered in other disorders such as RP and Stargardts.
  • Although our patient has large CD ratios and hence is a glaucoma suspect, Richard Spaide, MD has recently reported that glaucoma is rare in CSC.4
  • According to Dr. Spaide, CSC patients tend to have thick choroids (as measured with SD OCT) and hence good circulation to the optic nerve head. This intriguing observation has led to others to attempt to duplicate these findings.
  • The next evaluation will include retinal nerve fiber layer assessment since the patient remains a glaucoma suspect.

The Retinal Nerve Fiber Layer in Clinical Practice available at http://www.lulu.com