Central serous chorioretinopathy and the sclera: what we have learned so far.

IF 2.1 3区 医学 Q2 OPHTHALMOLOGY Japanese Journal of Ophthalmology Pub Date : 2024-09-01 Epub Date: 2024-08-16 DOI:10.1007/s10384-024-01101-2
Hideki Koizumi, Naoya Imanaga, Nobuhiro Terao
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Abstract

Central serous chorioretinopathy (CSC) is a common disorder characterized by serous retinal detachment. Several studies using indocyanine green angiography (ICGA) have revealed that choroidal filling delay, choroidal vascular dilation, and choroidal vascular hyperpermeability are the characteristic findings of CSC. These ICGA findings confirm that choroidal circulatory disturbances are the primary factors in the pathogenesis of CSC. With advancements in optical coherence tomography (OCT), choroidal thickness has been found to be significantly greater in eyes with CSC than in normal eyes. Dilated large choroidal vessels reportedly account for the thickened choroid in eyes with CSC. Although many possible mechanisms and risk factors have been suggested, the pathophysiologic features of choroidal circulatory disturbances and choroidal thickening in eyes with CSC have not yet been fully elucidated. Recently, using anterior segment OCT, we proposed that the sclera may induce choroidal circulatory disturbances since CSC eyes have significantly thicker sclera than do normal eyes. This review summarizes updated information on the close relationship between CSC pathogenesis and the sclera.

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中心性浆液性脉络膜视网膜病变与巩膜:我们迄今所学到的知识。
中心性浆液性脉络膜视网膜病变(CSC)是一种以浆液性视网膜脱离为特征的常见疾病。利用吲哚青绿血管造影术(ICGA)进行的多项研究显示,脉络膜充盈延迟、脉络膜血管扩张和脉络膜血管高渗透性是 CSC 的特征性发现。这些 ICGA 发现证实,脉络膜循环障碍是 CSC 发病的主要因素。随着光学相干断层扫描(OCT)技术的发展,发现CSC患者的脉络膜厚度明显大于正常眼。据报道,脉络膜大血管扩张是导致 CSC 眼球脉络膜增厚的原因。虽然已经提出了许多可能的机制和风险因素,但CSC患者脉络膜循环障碍和脉络膜增厚的病理生理特点尚未完全阐明。最近,我们利用眼前节 OCT 提出,巩膜可能会诱发脉络膜循环障碍,因为 CSC 眼睛的巩膜明显比正常眼睛厚。本综述总结了有关 CSC 发病机制与巩膜之间密切关系的最新信息。
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来源期刊
CiteScore
4.80
自引率
8.30%
发文量
65
审稿时长
6-12 weeks
期刊介绍: The Japanese Journal of Ophthalmology (JJO) was inaugurated in 1957 as a quarterly journal published in English by the Ophthalmology Department of the University of Tokyo, with the aim of disseminating the achievements of Japanese ophthalmologists worldwide. JJO remains the only Japanese ophthalmology journal published in English. In 1997, the Japanese Ophthalmological Society assumed the responsibility for publishing the Japanese Journal of Ophthalmology as its official English-language publication. Currently the journal is published bimonthly and accepts papers from authors worldwide. JJO has become an international interdisciplinary forum for the publication of basic science and clinical research papers.
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