Fig. 2.

A representative case of the right eye of a 42-year-old man with central serous chorioretinopathy with ciliochoroidal effusion. The spherical equivalent refractive error was +1.500 diopter, and the axial length was 24.19 mm. A. Color fundus photograph showed a SRD and a descending tract with alteration of the retinal pigment epithelium in the macular area. B. Optical coherence tomography along the white dotted line in the color fundus photograph revealed SRD and pachychoroid with markedly dilated choroidal vessels. The subfoveal choroidal thickness (double-headed arrow) was 537 µm. C. Fluorescein angiography demonstrated several leakages in the macular area. Descending tracts corresponded to hyperfluorescent areas with window defects. D. Indocyanine green angiography revealed multifocal areas of CVH (red arrows). The total area of CVH was 14.24 mm². E–H. Anterior-segment OCT demonstrates cross-sectional images of the anterior sclera in four directions. Ciliochoroidal effusion (arrowheads) was evident as a clearly hyporeflective area between the sclera and the ciliary body or the choroid at the superior, temporal, and inferior points. Scleral thickness at the superior, temporal, inferior, and nasal points was 472 µm, 534 µm, 539 µm, and 493 µm, respectively.