Abstract
Purpose: :
We report a case of long–standing bilateral chronic central serous chorioretinopathy associated with pituitary adenoma along with a review of the literature.
Methods: :
A 42–year–old female had chronic central serous chorioretinopathy that did not improve for 6 months. To evaluate her endocrine state, we checked her serum cortisol level, and found it to be abnormally high. We then referred the patient to a physician.
Results: :
The patient was diagnosed with Cushing’s syndrome due to pituitary adenoma. The tumor was removed by trans–sphenoidal surgical resection. One month after surgery, her serum cortisol level decreased to normal, her visual acuity improved and her fundus examination showed no abnormal findings.
Conclusions: :
We propose that patients with chronic, recurrent central serous chorioretinopathy of unknown origin should undergo evaluation of their serum cortisol levels to determine if surgery is needed to treat a primary endocrine abnormality.
Keywords: chorioretinitis • retina