Central serous chorioretinopathy following pigment epithelium detachment:: fluorescein and indocyanine green angiography follow-up

Purpose: To evaluate the evolution from idiopathic serous pigment epithelium detachment (PED) to central serous chorioretinopathy (CSC). Methods: Fluorescein angiography (FA) and indocyanine green angiography (ICGA) were performed using the digital imaging system Topcon IMAGEnet H 1024. Results: A leakage point which later became the typical smokestack image of a CSC was found in the upper margin of the persistent FED. Dilation of the choroidal vessels under the detached neuroepithelium was also seen. Conclusions: Clinical and angiographic evidence about the relation between the two entities can help us to understand CSC as a potential evolution of PED and to continue searching for the common injury of the pigment epithelium which probably is the primary event.