bilateral bullous idiopathic central serous chorioretinopathy
نویسندگان
چکیده
purpose: to present a case of bilateral idiopathic central serous chorioretinopthy (icsc) complicated by bullous serous retinal detachment (rd). case report: a 26-year old female suffered from acute loss of vision in the both eyes. best spectacle-corrected visual acuity was 1/10 ou. the examination of anterior segment was unremarkable and a mild vitreous reaction was noted. dilated fundus examination revealed bullous exudative retinal detachment in both eyes. fundus fluorescein angiography (ffa) demonstrated multiple hyperfluorescent spots at the level of retinal pigment epithelium. the initial diagnosis harada's disease (vkh) and oral corticosteroid was started which led to worsening of the condition. therefore, systemic corticosteroid was discontinued and indocyanine green angiography (icg) and ocular coherent tomography (oct) were performed. icg showed extensive choriodopathy and oct showed multiple sensory retinal detachments. on the basis of the abovementioned findings, bullous variant of icsc was diagnosed and the patient was followed up periodically. the lesion resolved spontaneously and completely within 4 months. conclusion: a severe variant of icsc characterized by multiple posterior exudation and bullous rd may affect otherwise a healthy young female. recognition of this atypical presentation is important to avoid inappropriate treatment.
منابع مشابه
Bullous variant of idiopathic central serous chorioretinopathy.
BACKGROUND Spontaneous bullous serous retinal detachment (RD) with subretinal exudation complicating idiopathic central serous chorioretinopathy (ICSC) is a rare and infrequently described clinical entity. Clinical observations are described on this variant form in 11 patients, the largest series reported to date. METHODS 13 eyes of 11 Indian patients having this entity were followed up clini...
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Bullous central serous chorioretinopathy (CSCR) is a rare variant of CSCR characterized by severe serous retinal detachment which especially involves the inferior quadrants. Corticosteroid therapy administered for systemic or ocular misdiagnoses may induce and exacerbate CSCR. The purpose of this study was to report diagnosis and treatment results of an unusual case of bullous CSCR induced by s...
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The pathogenesis of central serous chorioretinopathy (CSC) is still not fully understood. The involvement of corticosteroids is undisputed, although their exact role has not been clarified; other parts of the underlying mechanism of CSC have been mainly elucidated by imaging techniques such as fluorescein and indocyanine green angiography. Even though most cases of CSC are self-limiting, severe...
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عنوان ژورنال:
بیناجلد ۱۸، شماره ۴، صفحات ۴۶۸-۴۷۴
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