Clinical Studies on Retinitis Centralia (Central Serous Retinopathy) with Special Reference to Fluorescein Fundus Angiography and Photocoagulation Treatment

Abstract

1) 348 eyes of 319 patients(1.49% of all the patients) of Retinitis centralis which were observed between March 1968 and September 1971 at the Kansai Medical School Hospital, were studied statistically.
Male patients showed definitely high incidence of 80.3%.
Right eyes seemd to be more affected.
The visual acuity is generally good, and is over 0.7 in 65.3% male patients and in 67.3% female.
In the male patients, high incidence of the disease was seen in the age of 35-44 years, but in the female no tendency was observed.
Monthly variation in incidence was observed, but no variation in the seasons.
2) Fluorescein angiography was performed in 322 eyes, in which 292 showed abnormalities.
The pattern was as followes:
A. roundly enlarged type
B. upward diffusion type
C. congregation type
Type A is observ ed in 72.5%and type B in 18.2%.
More than 2 leakage dots were seen in 16% and their combination pattern is often in type A only, or in type Awith B, or in type A with C.
As to leakage, type A was frequently observed in up per-nasal area of the macula, and type B and C were distributed equally.
3) 179 Cases (197 eyes) were treated by photocoagulation and follow-up was made of 149 eyes.
In 66.5% of eyes, retinal detachment disappeared within 3 weeks after photocoagulation and the patients showed remarkable improvment in their visual acuities within 5 weeks.
The upward diffusion type showed less improvement in visual acuities than the roundly enlarged type and much period of time is required to be improved.