Criteria for Diagnosics of Central Serous Chorioretinopathy

Abstract

Key words: central serous chorioretinopathy, detachment of retinal neuroepithelium, detachment of the retinal pigment epithelium, classification.

Annotation: Actuality. The common classification of central serous chorioretinopathy (CSCR), based on the presence or absence of leakage point fluorescein according to fluorescent angiography, does not reflect the true picture of the disease and not allows according only this criterion defining the algorithm of therapeutic measures and functional prognosis of the disease.  

Purpose. To optimize CSCR diagnostic criteria defining the strategy of therapeutic measures and functional prognosis of the disease.

Materials and methods. A complete ophthalmological and physical examination of 101 men with central serous chorioretinopathy were made.

Results. Comparative analysis of the results of ophthalmic status examination, data of color Doppler mapping of orbital vessels, certain hormones that characterize metabolic processes and indices that reflect the degree of endothelial dysfunction, allowed distinguishing 3 clinical forms of the disease, the main criterion of their division served the area of destruction of pigment epithelium.

1. CSCR with local damage of pigment epithelium (with leakage point); 2. CSCR with extensive damage of the pigment epithelium with diffuse leakage; 3. CSCR with extensive damage of the pigment epithelium in conjunction with leakage point (recurrence of leakage). The criterion for determining the resistance to any kind of treatment is the combined change in retinal interface, accompanied by the formation of detachment not only neuro-, but the retinal pigment epithelium.

Conclusion. Development of new classification criteria of the disease allows already at the stage of diagnosis more accurately constructing an algorithm of therapeutic measures and determining the and prognosis of CSCR.