Chapter 7

Case 7-11. Bilateral Central Serous Chorioretinopathy Associated with Pregnancy

Clinical Summary

A 32-year-old woman described a bleached-out' area in her visual field which had developed over the past four to five days, and was beginning to compromise her central vision. She was 23 weeks pregnant with no history of pre-eclampsia. Fundus examination (A) of her left eye revealed a serous elevation of the neurosensory retina extending directly into the fovea consistent with a diagnosis of central serous chorioretinopathy f luorescein angiography was not performed.

Optical Coherence Tomography

A horizontal OCT tomogram (B) taken through the patient's optic disc and fovea also showed a detachment of the neurosensory retina extending along the papillomacular axis, and beginning to encroach beneath the fovea.

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