Background: To quantify blood flow changes in choriocapillaris (CC) of chronic central serous chorioretinopathy (CCSC) patients receiving half-dose photodynamic therapy (PDT) using optical coherence tomography angiography (OCTA).
Methods: A total of 28 affected eyes and 24 unaffected eyes of 26 CCSC patients receiving half-dose PDT, and 40 eyes of 20 healthy gender- and age-matched subjects were retrospectively enrolled. The proportion of total areas of flow signal voids (FSV, %) in CC level of OCTA was assessed in both eyes of the CCSC patients at baseline and repeated in multiple sections at 1-week, 1-month, 3-month and 6-month intervals after PDT. In addition, CC patterns in response to PDT at early stage and their subsequent morphologic changes were qualitatively documented using OCTA.
Results: For affected eyes, significant decrease in FSV was found at 6-m follow-up when compared with that at 1-m follow-up (p=0.036). When compared to normal control eyes, FSV in affected eyes was significantly higher at 1-m, 3-m and 6-m follow-up (p<0.05 for all), while FSV in unaffected eyes was significantly higher at baseline, 1-w, 1-m and 3-m follow-up (p<0.05 for all). Three CC patterns of early response to PDT were identified, including signs of recovery with more even flow signals, transient appearance of worse ischemia and secondary neovascularization within CC level.
Conclusion: Abnormal CC flow attenuation remains in completely resolved eyes of CCSC patients treated with half-dose PDT.
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This is a list of supplementary files associated with this preprint. Click to download.
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On 11 Dec, 2019
On 09 Dec, 2019
On 01 Oct, 2020
On 30 Sep, 2020
On 28 Sep, 2020
On 28 Sep, 2020
On 25 Sep, 2020
On 22 Sep, 2020
On 21 Sep, 2020
On 21 Sep, 2020
On 18 Sep, 2020
On 15 Sep, 2020
Received 15 Sep, 2020
Invitations sent on 09 Sep, 2020
On 07 Sep, 2020
On 06 Sep, 2020
On 06 Sep, 2020
Posted 21 Aug, 2020
On 02 Sep, 2020
On 20 Aug, 2020
On 19 Aug, 2020
On 19 Aug, 2020
On 06 Aug, 2020
Received 26 Jul, 2020
On 21 Jul, 2020
Received 13 Jul, 2020
On 22 May, 2020
Received 13 Apr, 2020
On 28 Mar, 2020
Received 27 Feb, 2020
On 24 Feb, 2020
Invitations sent on 20 Feb, 2020
On 20 Jan, 2020
On 19 Jan, 2020
On 15 Jan, 2020
Received 08 Jan, 2020
On 08 Jan, 2020
Received 02 Jan, 2020
On 24 Dec, 2019
On 23 Dec, 2019
On 23 Dec, 2019
Invitations sent on 23 Dec, 2019
On 11 Dec, 2019
On 09 Dec, 2019
Background: To quantify blood flow changes in choriocapillaris (CC) of chronic central serous chorioretinopathy (CCSC) patients receiving half-dose photodynamic therapy (PDT) using optical coherence tomography angiography (OCTA).
Methods: A total of 28 affected eyes and 24 unaffected eyes of 26 CCSC patients receiving half-dose PDT, and 40 eyes of 20 healthy gender- and age-matched subjects were retrospectively enrolled. The proportion of total areas of flow signal voids (FSV, %) in CC level of OCTA was assessed in both eyes of the CCSC patients at baseline and repeated in multiple sections at 1-week, 1-month, 3-month and 6-month intervals after PDT. In addition, CC patterns in response to PDT at early stage and their subsequent morphologic changes were qualitatively documented using OCTA.
Results: For affected eyes, significant decrease in FSV was found at 6-m follow-up when compared with that at 1-m follow-up (p=0.036). When compared to normal control eyes, FSV in affected eyes was significantly higher at 1-m, 3-m and 6-m follow-up (p<0.05 for all), while FSV in unaffected eyes was significantly higher at baseline, 1-w, 1-m and 3-m follow-up (p<0.05 for all). Three CC patterns of early response to PDT were identified, including signs of recovery with more even flow signals, transient appearance of worse ischemia and secondary neovascularization within CC level.
Conclusion: Abnormal CC flow attenuation remains in completely resolved eyes of CCSC patients treated with half-dose PDT.
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
This is a list of supplementary files associated with this preprint. Click to download.
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