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Central serous chorioretinopathy secondary to intramuscular testosterone therapy
SUMMARY: A patient treated with intramuscular testosterone replacement therapy for primary hypogonadism developed blurred vision shortly after receiving his testosterone injection. The symptom resolved over subsequent weeks and recurred after his next injection. A diagnosis of central serous chorior...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Bioscientifica Ltd
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10337839/ https://www.ncbi.nlm.nih.gov/pubmed/37212480 http://dx.doi.org/10.1530/EDM-22-0348 |
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author | Lockhart, M Ali, E Mustafa, M Tormey, W Sreenan, S Saaed, A McDermott, JH |
author_facet | Lockhart, M Ali, E Mustafa, M Tormey, W Sreenan, S Saaed, A McDermott, JH |
author_sort | Lockhart, M |
collection | PubMed |
description | SUMMARY: A patient treated with intramuscular testosterone replacement therapy for primary hypogonadism developed blurred vision shortly after receiving his testosterone injection. The symptom resolved over subsequent weeks and recurred after his next injection. A diagnosis of central serous chorioretinopathy (CSR) was confirmed following ophthalmology review. A decision was made to change the patient’s testosterone regime from this 12-weekly intramuscular injection to a daily topical testosterone gel, given the possibility that peak blood levels of testosterone following intramuscular injection were causing his ocular complaint. His CSR did not recur after this change in treatment. CSR secondary to testosterone therapy is a rare finding but has been reported previously in the literature. LEARNING POINTS: Blurred vision in patients treated with testosterone replacement therapy (TRT) should prompt an ophthalmology review. The potential for reduced risk of central serous chorioretinopathy (CSR) with daily transdermal testosterone remains a matter of conjecture. CSR is a rare potential side effect of TRT. |
format | Online Article Text |
id | pubmed-10337839 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Bioscientifica Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-103378392023-07-13 Central serous chorioretinopathy secondary to intramuscular testosterone therapy Lockhart, M Ali, E Mustafa, M Tormey, W Sreenan, S Saaed, A McDermott, JH Endocrinol Diabetes Metab Case Rep Unusual Effects of Medical Treatment SUMMARY: A patient treated with intramuscular testosterone replacement therapy for primary hypogonadism developed blurred vision shortly after receiving his testosterone injection. The symptom resolved over subsequent weeks and recurred after his next injection. A diagnosis of central serous chorioretinopathy (CSR) was confirmed following ophthalmology review. A decision was made to change the patient’s testosterone regime from this 12-weekly intramuscular injection to a daily topical testosterone gel, given the possibility that peak blood levels of testosterone following intramuscular injection were causing his ocular complaint. His CSR did not recur after this change in treatment. CSR secondary to testosterone therapy is a rare finding but has been reported previously in the literature. LEARNING POINTS: Blurred vision in patients treated with testosterone replacement therapy (TRT) should prompt an ophthalmology review. The potential for reduced risk of central serous chorioretinopathy (CSR) with daily transdermal testosterone remains a matter of conjecture. CSR is a rare potential side effect of TRT. Bioscientifica Ltd 2023-05-02 /pmc/articles/PMC10337839/ /pubmed/37212480 http://dx.doi.org/10.1530/EDM-22-0348 Text en © the author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/ This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. (https://creativecommons.org/licenses/by-nc-nd/4.0/) . |
spellingShingle | Unusual Effects of Medical Treatment Lockhart, M Ali, E Mustafa, M Tormey, W Sreenan, S Saaed, A McDermott, JH Central serous chorioretinopathy secondary to intramuscular testosterone therapy |
title | Central serous chorioretinopathy secondary to intramuscular testosterone therapy |
title_full | Central serous chorioretinopathy secondary to intramuscular testosterone therapy |
title_fullStr | Central serous chorioretinopathy secondary to intramuscular testosterone therapy |
title_full_unstemmed | Central serous chorioretinopathy secondary to intramuscular testosterone therapy |
title_short | Central serous chorioretinopathy secondary to intramuscular testosterone therapy |
title_sort | central serous chorioretinopathy secondary to intramuscular testosterone therapy |
topic | Unusual Effects of Medical Treatment |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10337839/ https://www.ncbi.nlm.nih.gov/pubmed/37212480 http://dx.doi.org/10.1530/EDM-22-0348 |
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