ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2026
Photoreceptors integrity as surrogate of retinal sensitivity in chronic central serous chorioretinopathy: a multimodal imaging study.
Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeTo assess the correlation between photoreceptor mosaic integrity in chronic central serous chorioretinopathy (cCSCR) and multiple morpho-functional parameters, including photoreceptor density (PD), normalized reflectivity of photoreceptor layers (NR-PRL), normalized reflectivity of the retinal pigment epithelium (NR-RPE), choriocapillaris vascular perfusion density (CC-VPD), and retinal sensitivity (RS).
methodsThis observational cross-sectional study was conducted between June 2023 and September 2024. Patients with cCSCR and healthy controls underwent imaging with Spectralis High Magnification Module (HMM), structural OCT, and OCT-Angiography in the macular area. Regions of interest were selected and topographically superimposed across modalities. Retinal sensitivity was assessed using fundus microperimetry with a 4-2-1 automated staircase strategy.
resultsMean photoreceptor density was significantly lower in cCSCR eyes than in healthy controls (6617.8 vs. 11162.3 cells/mm², p = 0.0004). Mean NR-PRL was 0.6 in cCSCR and 0.9 in controls (p = 0.0074), while NR-RPE was also significantly reduced in cCSCR (p = 0.0465). Mean CC-VPD was 41.8% in cCSCR compared with 63.7% in controls (p = 0.0011). Mean retinal sensitivity was significantly decreased in cCSCR (10.74 ± 3.90 dB) versus controls (19.39 ± 3.90 dB; p = 0.0001) and strongly correlated with photoreceptor density. A strong correlation between NR-PRL and NR-RPE was observed in both controls (r = 0.883, p = 0.014) and cCSCR eyes (r = 0.884, p = 0.015).
conclusionsPhotoreceptor mosaic integrity significantly correlates with retinal sensitivity in cCSCR. HMM represents a reliable and accessible in vivo tool for quantifying photoreceptor loss and its functional impact.
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