Ocular wavefront aberrations in acute central serous chorioretinopathy

Banafsheh Kharrazi Ghadim, N. Taheri, M. Niyousha
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Abstract

Background: Central serous chorioretinopathy (CSCR) is a condition of choroidal and retinal pathologies that may affect vision, so we assessed vision by the ocular wavefront in the acute form of CSCR. Methods: This cross-sectional study included 21 cases (16-male, 5-female) of acute onset CSCR was referred to the retina clinic of Nikookari Eye Hospital. Visual acuity and ocular examination with and without pupillary dilation record. Central macular thickness and sub-foveal fluid height of all patients measured by spectral-domain optical coherence tomography (SD-OCT). All of them fulfilled binocular visual function analyzer by Tracy Technology after complete pupillary dilation. The items such as spherical equivalent, total root mean square, total lower-order aberration, total higher-order aberration, defocus, astigmatism, secondary astigmatism, coma, spherical aberration, trefoil, Strehl ratio in point spread function, the average height in the modulation transfer function, and root mean square error registered. Generalized Estimation Equations (GEE) were used to compare two groups of affected CSCR and normal contralateral eyes. Results: The mean uncorrected distance visual acuity in the CSCR eyes is (Decimal Notation) 0.82±0.17 and in the contralateral eyes is 0.95±0.09 (P=0.002). Analysis of macular OCT data CSCR group represents: central foveal thickness 485.9±165.12 μm and mean fluid height 284.3±165.42 μm. The mentioned optical parameters of ocular wavefront aberrations do not have significantly different results in the two groups. Conclusion: Our study showed CSCR reduced uncorrected visual acuity but it did not detect significant ocular wavefront changes in acute CSCR
急性中枢性浆液性脉络膜视网膜病变的眼波前畸变
背景:中枢性浆液性脉络膜视网膜病变(CSCR)是一种可能影响视力的脉络膜和视网膜病变,因此我们通过急性CSCR的眼波前来评估视力。方法:本横断面研究包括转诊至Nikookari眼科医院视网膜门诊的急性起病CSCR患者21例(男16例,女5例)。视力及眼部检查有无瞳孔扩张记录。光谱域光学相干断层扫描(SD-OCT)测量所有患者的中央黄斑厚度和中央凹下液高度。所有患者在瞳孔完全扩张后均满足Tracy技术的双眼视功能分析。记录了球面等效、总均方根、总低阶像差、总高阶像差、离焦、像散、二次像散、彗差、球像差、三叶草、点扩散函数中的Strehl比、调制传递函数中的平均高度、均方根误差等项目。采用广义估计方程(Generalized Estimation equation, GEE)对两组受影响的CSCR与正常对侧眼进行比较。结果:CSCR眼未矫正距离平均视力为0.82±0.17,对侧眼平均视力为0.95±0.09 (P=0.002)。CSCR组黄斑OCT数据分析:中央凹厚度485.9±165.12 μm,平均液高284.3±165.42 μm。两组眼波前像差的光学参数无明显差异。结论:我们的研究显示CSCR降低了未矫正的视力,但没有发现急性CSCR的明显眼波前改变
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