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Visual Function Abnormalities in Central Serous Retinopathy
James C. Folk, MD;
H. Stanley Thompson, MD;
Dennis P. Han, MD;
Carl Kice Brown, MS
Arch Ophthalmol. 1984;102(9):1299-1302.
Abstract
Eighteen patients with central serous retinopathy (CSR) underwent a battery of visual function tests when first seen and after resolution of the subretinal fluid. Eyes with CSR had minimal relative afferent pupillary defects, reduced critical flicker-fusion thresholds, prolonged visual evoked potential (VEP) latencies, increased errors on the Farnsworth-Munsell 100-hue (FM 100) test, and depressed central visual fields (Octopus). The afferent pupillary defect and critical flickerfusion thresholds were the first to improve after resolution of the subretinal fluid. Next in rate of improvement were the visual acuity, the VEP latency, and the FM 100 test results. The threshold of the central Octopus at fixation improved the slowest and was still abnormal during long-term follow-up, indicating a prolonged depression in the threshold of central field sensitivity after resolution of the CSR. Many of these abnormalities are also seen in patients with optic nerve disease.
Author Affiliations
From the Departments of Ophthalmology (Drs Folk, Thompson, and Han) and Preventive Medicine and Environmental Health (Mr Brown), University of Iowa, Iowa City.
Footnotes
Accepted for publication May 16, 1984.
Read in part at the Annual Meeting of the Macular Society, San Diego, Jan 28, 1984.
Reprint requests to C. S. O'Brien Library, Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242 (Dr Folk).
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