Atypical chronic central serous chorioretinopathy with cystoid macular edema: Therapeutic response to medical and laser therapy

PURPOSE: To describe an atypical case of chronic central serous chorioretinopathy (CSCR). METHODS: A 58-year-old man with longstanding, bilateral visual impairment was self-referred for a second opinion. RESULTS: Findings by direct ophthalmoscopy, optical coherence tomography, fluorescein angiograph...

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Autores principales: Do, Jiun L., Olmos de Koo, Lisa C., Ameri, Hossein
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5463008/
https://www.ncbi.nlm.nih.gov/pubmed/28626824
http://dx.doi.org/10.1016/j.joco.2017.01.004
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author Do, Jiun L.
Olmos de Koo, Lisa C.
Ameri, Hossein
author_facet Do, Jiun L.
Olmos de Koo, Lisa C.
Ameri, Hossein
author_sort Do, Jiun L.
collection PubMed
description PURPOSE: To describe an atypical case of chronic central serous chorioretinopathy (CSCR). METHODS: A 58-year-old man with longstanding, bilateral visual impairment was self-referred for a second opinion. RESULTS: Findings by direct ophthalmoscopy, optical coherence tomography, fluorescein angiography, and fundus autofluorescence (FAF) were suggestive of atypical, chronic CSCR. Treatment with oral anti-mineralocorticoids resulted in moderate improvement, and photodynamic therapy (PDT) had minimal effect. CONCLUSION: Chronic CSCR may lack cardinal features of CSCR. Once retinal degenerative changes ensue, current treatments may not be effective in improving anatomical and visual outcomes in patients with chronic CSCR.
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spelling pubmed-54630082017-06-16 Atypical chronic central serous chorioretinopathy with cystoid macular edema: Therapeutic response to medical and laser therapy Do, Jiun L. Olmos de Koo, Lisa C. Ameri, Hossein J Curr Ophthalmol Case Report PURPOSE: To describe an atypical case of chronic central serous chorioretinopathy (CSCR). METHODS: A 58-year-old man with longstanding, bilateral visual impairment was self-referred for a second opinion. RESULTS: Findings by direct ophthalmoscopy, optical coherence tomography, fluorescein angiography, and fundus autofluorescence (FAF) were suggestive of atypical, chronic CSCR. Treatment with oral anti-mineralocorticoids resulted in moderate improvement, and photodynamic therapy (PDT) had minimal effect. CONCLUSION: Chronic CSCR may lack cardinal features of CSCR. Once retinal degenerative changes ensue, current treatments may not be effective in improving anatomical and visual outcomes in patients with chronic CSCR. Elsevier 2017-02-17 /pmc/articles/PMC5463008/ /pubmed/28626824 http://dx.doi.org/10.1016/j.joco.2017.01.004 Text en Copyright © 2017, Iranian Society of Ophthalmology. Production and hosting by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Do, Jiun L.
Olmos de Koo, Lisa C.
Ameri, Hossein
Atypical chronic central serous chorioretinopathy with cystoid macular edema: Therapeutic response to medical and laser therapy
title Atypical chronic central serous chorioretinopathy with cystoid macular edema: Therapeutic response to medical and laser therapy
title_full Atypical chronic central serous chorioretinopathy with cystoid macular edema: Therapeutic response to medical and laser therapy
title_fullStr Atypical chronic central serous chorioretinopathy with cystoid macular edema: Therapeutic response to medical and laser therapy
title_full_unstemmed Atypical chronic central serous chorioretinopathy with cystoid macular edema: Therapeutic response to medical and laser therapy
title_short Atypical chronic central serous chorioretinopathy with cystoid macular edema: Therapeutic response to medical and laser therapy
title_sort atypical chronic central serous chorioretinopathy with cystoid macular edema: therapeutic response to medical and laser therapy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5463008/
https://www.ncbi.nlm.nih.gov/pubmed/28626824
http://dx.doi.org/10.1016/j.joco.2017.01.004
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