Role of different imaging modalities in the differential diagnosis of inflammatory serous retinal detachments

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Serous retinal detachment (SRD) may complicate a number of non infectious or infectious uveitic entities, including VKH disease, sympathetic ophthalmia, posterior scleritis, multifocal choroiditis, sarcoidosis, tuberculosis, and toxoplasmosis. Accurate detection and evaluation of inflammatory SRD relies on clinical examination and a multimodal imaging approach, including optical coherence tomography, fluorescein angiography, indocyanine green angiography, fundus autofluorescence, and ultrasonography, in selected cases. Moreover, mutimodal imaging is useful in monitoring response to treatment. It also plays an important role in differentiating inflammatory SRD from central serous chorioretinopathy that may be induced or exacerbated by corticosteroid therapy.

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