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Cuticular drusen presenting with central serous chorioretinopathy in both eyes: A case report
Drusen are precursor lesions to advanced age-related macular degeneration. Although cuticular drusen are located between the retinal pigment epithelium and Bruch’s membrane, as are conventional drusen, they possess unique characteristics that are distinct from those of conventional drusen on clinica...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Lippincott Williams & Wilkins
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9726326/ https://www.ncbi.nlm.nih.gov/pubmed/36482569 http://dx.doi.org/10.1097/MD.0000000000032032 |
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author | Hosoda, Shuhei Sakurada, Yoichi Shijo, Taiyo Kashiwagi, Kenji |
author_facet | Hosoda, Shuhei Sakurada, Yoichi Shijo, Taiyo Kashiwagi, Kenji |
author_sort | Hosoda, Shuhei |
collection | PubMed |
description | Drusen are precursor lesions to advanced age-related macular degeneration. Although cuticular drusen are located between the retinal pigment epithelium and Bruch’s membrane, as are conventional drusen, they possess unique characteristics that are distinct from those of conventional drusen on clinical presentations. Central serous chorioretinopathy (CSC) is a rare complication in eyes with cuticular drusen. PATIENT CONCERN: A 58-years-old man was referred to our institute for the treatment of persistent subretinal fluid (SRF) in both eyes. Spectral-domain optical coherence tomography revealed focal SRF that did not involve the central macula of the right eye and SRF in the central macula of the left eye. Fluorescein angiography exhibited focal leakage corresponding to SRF and hyperfluorescence resembling a “stars in the sky” appearance in both eyes. On initial presentation, the best-corrected visual acuity values were 1.2 and 0.9 in the right and left eye decimal formats, respectively. DIAGNOSIS: Cuticular drusen presenting with CSC in both eyes. INTERVENTIONS: No treatment was administered for CSC in the right eye, whereas photodynamic therapy was administered for CSC in the left eye. OUTCOMES: At the 6-month visit, extrafoveal SRF persisted in the right eye and resolved in the left eye. Best-corrected visual acuity improved from 0.9 to 1.2 in the decimal format in the left eye. LESSONS: Although cuticular drusen presenting with CSC are rare, physicians should be aware of the possibility of CSC development in eyes with cuticular drusen. |
format | Online Article Text |
id | pubmed-9726326 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-97263262022-12-09 Cuticular drusen presenting with central serous chorioretinopathy in both eyes: A case report Hosoda, Shuhei Sakurada, Yoichi Shijo, Taiyo Kashiwagi, Kenji Medicine (Baltimore) 5800 Drusen are precursor lesions to advanced age-related macular degeneration. Although cuticular drusen are located between the retinal pigment epithelium and Bruch’s membrane, as are conventional drusen, they possess unique characteristics that are distinct from those of conventional drusen on clinical presentations. Central serous chorioretinopathy (CSC) is a rare complication in eyes with cuticular drusen. PATIENT CONCERN: A 58-years-old man was referred to our institute for the treatment of persistent subretinal fluid (SRF) in both eyes. Spectral-domain optical coherence tomography revealed focal SRF that did not involve the central macula of the right eye and SRF in the central macula of the left eye. Fluorescein angiography exhibited focal leakage corresponding to SRF and hyperfluorescence resembling a “stars in the sky” appearance in both eyes. On initial presentation, the best-corrected visual acuity values were 1.2 and 0.9 in the right and left eye decimal formats, respectively. DIAGNOSIS: Cuticular drusen presenting with CSC in both eyes. INTERVENTIONS: No treatment was administered for CSC in the right eye, whereas photodynamic therapy was administered for CSC in the left eye. OUTCOMES: At the 6-month visit, extrafoveal SRF persisted in the right eye and resolved in the left eye. Best-corrected visual acuity improved from 0.9 to 1.2 in the decimal format in the left eye. LESSONS: Although cuticular drusen presenting with CSC are rare, physicians should be aware of the possibility of CSC development in eyes with cuticular drusen. Lippincott Williams & Wilkins 2022-12-02 /pmc/articles/PMC9726326/ /pubmed/36482569 http://dx.doi.org/10.1097/MD.0000000000032032 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | 5800 Hosoda, Shuhei Sakurada, Yoichi Shijo, Taiyo Kashiwagi, Kenji Cuticular drusen presenting with central serous chorioretinopathy in both eyes: A case report |
title | Cuticular drusen presenting with central serous chorioretinopathy in both eyes: A case report |
title_full | Cuticular drusen presenting with central serous chorioretinopathy in both eyes: A case report |
title_fullStr | Cuticular drusen presenting with central serous chorioretinopathy in both eyes: A case report |
title_full_unstemmed | Cuticular drusen presenting with central serous chorioretinopathy in both eyes: A case report |
title_short | Cuticular drusen presenting with central serous chorioretinopathy in both eyes: A case report |
title_sort | cuticular drusen presenting with central serous chorioretinopathy in both eyes: a case report |
topic | 5800 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9726326/ https://www.ncbi.nlm.nih.gov/pubmed/36482569 http://dx.doi.org/10.1097/MD.0000000000032032 |
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