Spectral domain optical coherence tomography predates fluorescein angiography in diagnosing central serous chorioretinopathy

Dear Editor: Central serous chorioretinopathy (CSCR) is characterized by the development of serous retinal detachment in the macula and is mainly diagnosed by fluorescein angiography that shows one or multiple areas of leakage from the retinal pigment epithelium (RPE) seen as "expanding dot" or "smoke stack" sign. [1],[2] The RPE defect corresponding to the dominant hyperfluorescence in the fluorescein angiogram, is believed to be the cause for serous leakage of fluid into the subretinal space and is seen as a pigment epithelium detachment (PED) on time domain Stratus Optical coherence tomography (OCT). [3] We present a case of CSCR ...
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