Pappa Padmavathi 1 , Sunil Maruthivila Sudhakaran
BACKGROUND CSC is characterised by a serous detachment involving the fovea. CSC may make the patient hypermetropic. It is primarily a disease of the choroid as evidenced by the fact that the asymptomatic other eye of patients with CSC shows thick choroid. Symptomatic eye with CSC very often shows pigment epithelial detachments. Pigment epithelial detachments have also been noted in the asymptomatic other eye of patients with CSC. MATERIALS AND METHODS Spectral Domain (SD), Optical Coherence Tomography (OCT) provides high resolution images of the retinal layers and improved visualisation of the choroid. This study was done to assess the SD-OCT changes in asymptomatic eye in patients with unilateral CSC. RESULTS 19 cases (53%) had SD-OCT changes in asymptomatic eye. Out of this, 13 (37%) cases had PED, 5 (13%) cases with subretinal fluid (13%) and 6 (16%) cases had retinal pigment epithelial changes. CONCLUSION The presence of only PED in the asymptomatic eyes suggests that the pathologic process is evolving with asymmetric clinical presentation. So, it is reasonable to conclude that CSC is a bilateral disease with an asymmetric presentation.
