High-resolution ultrasonography in central serous chorioretinopathy

PURPOSE: To investigate the use of high-resolution ultrasonography for detecting choroidal layer abnormalities in eyes with central serous chorioretinopathy (CSC). DESIGN: Prospective observational case series. METHOD: Optical coherence tomography (OCT) and high-resolution ultrasonography with a 20-MHz immersion probe were performed bilaterally in 10 patients, of whom 5 were affected by unilateral active CSC and 5 by unilateral cystoid macular edema (CME). Ten age, matched control subjects were also investigated. RESULTS: Both OCT and high-resolution ultrasonography showed a macular elevation in eyes with CSC and CME. High-resolution ultrasonography has shown evidence of a nonechogenic linear band under the retinal pigment epithelium in patients affected by CSC. This could be found in neither patients with CME or in control subjects. CONCLUSION: High,resolution ultrasonography can detect a nonechogenic space consistent with hyperperme, ability of choroidal capillaries in eyes with active CSC. Shadowing by an altered retinal pigment epithelium cannot be ruled out, however. (c) 2005 by Elsevier Inc. All rights reserved.