Clinical Study

Eye (2008) 22, 204–208; doi:10.1038/sj.eye.6702563; published online 25 August 2006

Assessment of macular function by microperimetry in unilateral resolved central serous chorioretinopathy

The authors have no commercial interest in the material used in this work

H Ozdemir1, S A Karacorlu1, F Senturk1, M Karacorlu1 and O Uysal2

  1. 1Ophthalmology, The Istanbul Retina Institute Inc., Unimed Center, Istanbul, Turkey
  2. 2Department of Biostatistics, Cerrahpasa School of Medicine, University of Istanbul, Istanbul, Turkey

Correspondence: M Karacorlu, Ophthalmology, Istanbul Retina Institute Inc., Unimed Center, Hakki nodot Yeten Cad., No.: 8/7, Fulya, Sisli 34349, Istanbul, Turkey. Tel: +90 212 2313121; Fax: +90 212 2332425; E-mail: retina@pobox.com

Received 16 January 2006; Accepted 5 July 2006; Published online 25 August 2006.

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Abstract

Purpose

 

To determine macular sensitivity and fixation characteristics in patients with unilateral resolved central serous chorioretinopathy (CSC) using fundus-related microperimetry.

Methods

 

We reviewed 15 eyes with resolved CSC and 15 normal healthy eyes that had undergone fundus-related microperimetry. The macular sensitivity was measured using the recently introduced fundus-related microperimeter, MP-1. The best-corrected visual acuity (VA) (BCVA), mean retinal sensitivity in the central 10° (central microperimetry, cMP-1) and in the paracentral 10–20° (paracentral microperimetry, pMP-1), and fixation stability and location were determined and compared with measurements in control eyes.

Results

 

BCVA at the time of this study was 20/20 in all the affected eyes, and fundus examination and optical coherence tomography findings revealed no serous detachment. Eyes with CSC showed statistically significantly lower cMP-1 sensitivity and lower, but not significantly, pMP-1 sensitivity than control eyes (P<0.001, P=0.11, respectively). Eyes with CSC were not significantly different from control eyes in fixation location (P=1.00) or fixation stability (P=0.91). Fixation location was predominantly central in all eyes with CSC; fixation was stable in 12 (80%) and relatively unstable in 3 (20%).

Conclusion

 

Our study shows that eyes with resolved CSC can have lower retinal sensitivity in the central macula than control eyes, even after good VA has been obtained.

Keywords:

central serous chorioretinopathy, retinal sensitivity, fundus-related microperimetry, macular function, fixation stability, fixation location

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