Purchase this article with an account.
Miguel Hage Amaro; Severe Visual Loss in Central Serous Chorioretinopathy. Invest. Ophthalmol. Vis. Sci. 2020;61(7):5256.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
To report retrospectives and nonconsecutives five clinical cases of Central Serous Chorioretinopathy(CSCR) after long -standingmacular sensorial retinal detachment that evolved with damage of the outer retina and macularatrophy.
This is a retrospective and nonconsecutives description of five clinical cases of Central Serous Chorioretinopathyafter long –standing macular sensorial retinal macular sensorial retinal detachment. The patientspresents a fundoscopic ,Fluorescein Angiography and Optical Coherence Tomography findingsof macular sensorial retinal detachment and the diagnostic was Central SerousChorioretinopathy. One case was the bilateral presentation with nonmacular disease andmacular disease too. All patients has been followed for at least 6 months and the diagnosis timewas more than one year. The most recent unilateral case was treated witn Spironolactone oraltherapy .All patients presented visual acuity with count fingers in the affected eyes with macularsensorial retinal detachment and in the nonmacular case the visual acuity was 20/100
All patients evolved with outer retina damage and macular atrophy with loss of Ellipsoid Zoneand External Limiting Membrane. Attenuation of Outer nuclear Layer . The final visual acuitywas count fingers in the affected eye in all patients and 20/100 in nonmacular disease case .
This anusual evolution in the Central Serous Chorioretinopathy disease call the attentionbecausethe clinical signs were all presents and no doubt has been in the moment of diagnosisthat 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 ifchronic or recalcitrant or recurrent ,can lead to disruption of photoreceptors viability andassociated outer retinal atrophy
This is a 2020 ARVO Annual Meeting abstract.
This PDF is available to Subscribers Only