Publication: Validez del estudio de la coroides mediante tomografía de coherencia óptica de alta penetrancia en el diagnóstico de la coroidopatía central serosa
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2018-11-19
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Universidad Complutense de Madrid
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Abstract
La coroidopatía central serosa (CCS) es una enfermedad caracterizada por un desprendimiento de la retina sensorial macular producido por una fuga de líquido al espacio subretiniano a través del epitelio pigmentario de la retina que en la mayoría de casos agudos se resuelve espontáneamente. Aunque generalmente afecta a varones sanos de edades medias, también puede ocurrir en otras edades y ser diagnosticada erróneamente como otras patologías con desprendimientos serosos maculares susceptibles de recibir tratamiento temprano. Nuevas modalidades de tomografía de coherencia óptica (OCT) como el “Enhanced Depth Imaging” (EDI-OCT) o el “Swept-Source” (SS-OCT) han permitido el estudio de la coroides gracias a una mayor definición y penetrancia en los tejidos. Desde nuestro conocimiento, este es el primer estudio que evalúa la capacidad diagnóstica de la medición del grosor coroideo para diferenciar la CCS de patologías de diagnóstico diferencial (DD)...
Central serous chorioretinopahy (CSC) is a disorder characterised byserous macular detachment caused by fluid leakage through retinal pigmentepithelium (RPE) into the subretinal space that in the majority of acute cases resolvesspontaneously. Although it is typically seen in young healthy men, it can also be foundin other age groups and can be misdiagnosed as other disorders that present withserous macular detachment that need prompt treatment. New optical coherencetomography (OCT) modalities such as “Enhanced Depth Imaging” (EDI-OCT) or “Swept-Source” (SS-OCT) have allowed to study the choroid due to a higher definition andtissue penetrance. From our knowledge, this is the first study that evaluates diagnosticvalue of choroidal thickness measurement to differentiate CSC from differentialdiagnoses (DD).
Central serous chorioretinopahy (CSC) is a disorder characterised byserous macular detachment caused by fluid leakage through retinal pigmentepithelium (RPE) into the subretinal space that in the majority of acute cases resolvesspontaneously. Although it is typically seen in young healthy men, it can also be foundin other age groups and can be misdiagnosed as other disorders that present withserous macular detachment that need prompt treatment. New optical coherencetomography (OCT) modalities such as “Enhanced Depth Imaging” (EDI-OCT) or “Swept-Source” (SS-OCT) have allowed to study the choroid due to a higher definition andtissue penetrance. From our knowledge, this is the first study that evaluates diagnosticvalue of choroidal thickness measurement to differentiate CSC from differentialdiagnoses (DD).
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Tesis de la Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Oftalmología y Otorrinolaringología, leída el 01-06-2017