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Central serous chorioretinopathy in elderly patients mimicking occult neovascular age-related macular degeneration

Clinical Ophthalmology Nov 27, 2020

Adrean SD, Chaili S, Pirouz A, et al. - Researchers conducted this retrospective study to identify elderly patients with central serous chorioretinopathy (CSCR) mimicking occult neovascular age-related macular degeneration (nAMD). In order to determine characteristics meeting diagnostic criteria for CSCR with three or more months of follow-up, the records of 522 patients with initial diagnoses of nAMD over one year were reviewed. Patients were assessed by clinical examination, fluorescein angiography (FA) and optical coherence tomography. Among the 522 patients initially diagnosed with nAMD, 11 elderly patients met the diagnostic criteria for CSCR. The average vision improved to 20/40+ after observation or treatment. Occult CNVM, especially in FA, can mimic CSCR in elderly patients. Many patients in this group were monitored without treatment, which typically resulted in a stable or improved vision. Due to possible CNVM development, careful monitoring is needed.

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