Evaluation of clinical and functional sequels of central serous chorioretinopathy. A case series analysis.

OBJECTIVE: To evaluate the clinical and functional sequelae of patients with a diagnosis of resolved CSC, through macular OCT, contrast sensitivity test, visual field 10-2 and Farnsworth D-15 color test. METHODS: 27 eyes of 26 individuals with CSC resolved by macular OCT were included and evaluated; the patients underwent a contrast sensitivity test with the Optec 6500 equipment, a 10-2 visual field with an Octopus 900 Haag-Streit, and a Farnsworth D-15 color test. RESULTS: Sequelae were observed in 20 eyes (74.1%) by macular OCT and in 21 (77.8%) in contrast sensitivity, predominantly type 2 defect. Also 27 (100%) had a visual field 10-2 altered corresponding to reduced foveal sensitivity, 11 eyes (40.7%) corresponded to central and paracentral scotomas. The color test showed alteration in 11 (40.7%) of the total eyes evaluated, finding tritanomaly in 9 of them (81.8%). No significant differences were observed in the studies between observation group vs the treatment group. CONCLUSIONS: CSC can leave sequelae in the visual quality of patients despite treatment in the acute phase. Visual acuity before and after treatment in the intervention group had no significant difference.

Validation of the color graduation scale in the optical nerve photograph, an alternative for qualitative classification.

BACKGROUND: To validate objectively the proposed Teherán-Morales's color grading scale, comparing to the subjective readings of specialists in optic nerve photography. METHODS: Concordance study and diagnostic tests, in which 150 photographs of the optic nerve were evaluated, from three groups, glaucomatous neuropathy, neuropathy of other origin and control group with the Teherán-Morales's color scale and the analysis of three experts in optic nerve. Spearman's Rho correlation was performed between both analysis methods. RESULTS: In the analysis of all the photographs using Spearman's Rho, we found moderate correlations that were statistically significant P < 0.0001, the highest was in the temporal quadrant by observer 1 (r = 0.650 95% CI 0.546-0.733). In photographs of optic neuropathy, the correlations become moderately high, and statistically significant P < 0.0001, the highest correlation was for the temporal quadrant by observer 1 (r = 0.772 95% CI 0.626-0.865). In the glaucoma and normal eyes groups, there were moderate to low correlations with statistical significance P < 0.05. CONCLUSIONS: The Teherán-Morales's scale, for color grading, is useful in detecting color, correlates moderately with the subjective assessment of experts in the optic nerve having its best performance in optic neuropathy with very pale discs. However, in normal or glaucomatous optic discs, it has a low correlation, compared to the subjective clinical assessment.

Validación de la escala de graduación del color en la fotografía del nervio óptico, una alternativa para la clasificación cualitativa / Validation of the color graduation scale in the optical nerve photograph, an alternative for qualitative classification

ObjetivoValidar de forma objetiva la escala de graduación del color Teherán-Morales propuesta, comparándola con las lecturas subjetivas de especialistas en lectura de fotografías del nervio óptico.Material y métodosEstudio de concordancia y pruebas diagnósticas, en el que 150 fotografías del nervio óptico fueron evaluadas, distribuidas en tres grupos, neuropatía glaucomatosa, neuropatía de otro origen y grupo control los cuales se sometieron a evaluación mediante la escala de color Teherán-Morales por parte de 3 expertos en nervio óptico independientes. Se realizó correlación Rho de Spearman entre ambos métodos de análisis.ResultadosEn el análisis de todas las fotografías mediante la rho de Spearman, encontramos correlaciones moderadas que fueron estadísticamente significativas P <0,0001, la mayor de ellas fue por el observador 1 (r=0,650 IC 95% 0,546 a 0,733) en el cuadrante temporal. En fotografías de neuropatía óptica, las correlaciones pasan a ser moderadas altas, y estadísticamente significativas P<0,0001, siendo la correlación más alta para el cuadrante temporal por el observador 1 (r=0,772 IC 95% 0,626 a 0,865). En los grupos de glaucoma y ojos normales, hubo correlaciones moderadas a bajas con significación estadística P <0,05.ConclusionesLa escala Teherán-Morales, para la graduación del color es útil en la detección del color, correlacionándose moderadamente con la valoración subjetiva de expertos en nervio óptico, teniendo su mejor desempeño en neuropatía óptica con discos muy pálidos. Sin embargo, en discos ópticos normales o glaucomatosos, tiene baja correlación, comparada con la valoración clínica subjetiva. (AU)

BackgroundTo validate objectively the proposed Teherán-Morales's color grading scale, comparing to the subjective readings of specialists in optic nerve photography.MethodsConcordance study and diagnostic tests, in which 150 photographs of the optic nerve were evaluated, from three groups, glaucomatous neuropathy, neuropathy of other origin and control group with the Teherán-Morales's color scale and the analysis of three experts in optic nerve. Spearman's Rho correlation was performed between both analysis methods.ResultsIn the analysis of all the photographs using Spearman's Rho, we found moderate correlations that were statistically significant P <.0001, the highest was in the temporal quadrant by observer 1 (r=0.650 95% CI 0.546 to 0.733). In photographs of optic neuropathy, the correlations become moderately high, and statistically significant P <.0001, the highest correlation was for the temporal quadrant by observer 1 (r=0.772 95% CI 0.626 to 0.865). In the glaucoma and normal eyes groups, there were moderate to low correlations with statistical significance P <.05.ConclusionsThe Teherán-Morales's scale, for color grading, is useful in detecting color, correlates moderately with the subjective assessment of experts in the optic nerve having its best performance in optic neuropathy with very pale discs. However, in normal or glaucomatous optic discs, it has a low correlation, compared to the subjective clinical assessment. (AU)