AbstractPurpose To evaluate the clinical features and longitudinal outcomes of chronic central serous chorioretinopathy (CSCR) presenting with subretinal hyperreflective material (SHRM). Design Retrospective, multicentre clinical cohort study from the Macula Society CSCR Study Group. Participants This study included consecutive patients with a diagnosis of CSCR, with and without SHRM. Methods Baseline and final best-recorded visual acuity (BRVA) and multimodal imaging parameters were compared between SHRM and non-SHRM groups. Main Outcome Measures Longitudinal changes in BRVA and imaging parameters in both groups; factors affecting subretinal fluid (SRF) persistence, and change in BRVA. Results A total of 503 eyes (103 with SHRM and 400 eyes without SHRM) were analysed. The SHRM group showed poorer baseline BRVA (0.4 ± 0.3 logMAR; 20/50) compared to the non-SHRM group (0.2 ± 0.3 logMAR; 20/30) (p = 0.006). SHRM eyes demonstrated greater RPE alteration (p = 0.04), higher neurosensory retinal detachment (p Conclusion CSCR with SHRM presented with worse initial vision. Although vision improved after treatment, persistent SRF and EZ loss (in resolved cases) remain more frequent in SHRM eyes.
Sahoo et al. (Sun,) studied this question.