June 2020
Volume 61, Issue 7
Free
ARVO Annual Meeting Abstract  |   June 2020
Severe Visual Loss in Central Serous Chorioretinopathy
Author Affiliations & Notes
  • Miguel Hage Amaro
    Retina, Eye and Laser Institute of Belém, Belém, Pará, Brazil
  • Footnotes
    Commercial Relationships   Miguel Amaro, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2020, Vol.61, 5256. doi:
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    • Get Citation

      Miguel Hage Amaro; Severe Visual Loss in Central Serous Chorioretinopathy. Invest. Ophthalmol. Vis. Sci. 2020;61(7):5256.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : To report retrospectives and nonconsecutives five clinical cases of Central Serous Chorioretinopathy(CSCR) after long -standing
macular sensorial retinal detachment that evolved with damage of the outer retina and macular
atrophy.

Methods : This is a retrospective and nonconsecutives description of five clinical cases of Central Serous Chorioretinopathy
after long –standing macular sensorial retinal macular sensorial retinal detachment. The patients
presents a fundoscopic ,Fluorescein Angiography and Optical Coherence Tomography findings
of macular sensorial retinal detachment and the diagnostic was Central Serous
Chorioretinopathy. One case was the bilateral presentation with nonmacular disease and
macular disease too. All patients has been followed for at least 6 months and the diagnosis time
was more than one year. The most recent unilateral case was treated witn Spironolactone oral
therapy .
All patients presented visual acuity with count fingers in the affected eyes with macular
sensorial retinal detachment and in the nonmacular case the visual acuity was 20/100

Results : All patients evolved with outer retina damage and macular atrophy with loss of Ellipsoid Zone
and External Limiting Membrane. Attenuation of Outer nuclear Layer . The final visual acuity
was count fingers in the affected eye in all patients and 20/100 in nonmacular disease case .

Conclusions : This anusual evolution in the Central Serous Chorioretinopathy disease call the attention
becausethe clinical signs were all presents and no doubt has been in the moment of diagnosis
that excluded VKH disease and others diseases that cause macular sensorial retinal detachment.
Often with resolution of SRF with CSCR can be outer retinal atrophy and photoreceptors loss
. This is more typical of chronic cases of CSCR. Presumably macular detachment ,especially if
chronic or recalcitrant or recurrent ,can lead to disruption of photoreceptors viability and
associated outer retinal atrophy

This is a 2020 ARVO Annual Meeting abstract.

 

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