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Case 7-1. Central Serous Chorioretinopathy

Clinical Summary

A 57-year-old man noticed an abrupt onset of visual blurring in his left eye over a period of one day He described the area as gray with sharply defined borders. Slit-lamp biomicroscopy (A) showed a shallow serous elevation of the neurosensory retina in the macula including the fovea. His visual acuity in this eye was 20/25. Fluorescein angiography (B) displayed multiple, focal areas of hvperfluorescence. An area superotemporal to the fovea showed increasing hyperfluorescence with intense late leakage. Two hyperfluorescent spots were also noted superior to the optic disc and nasal to the fovea, consistent with either pigment epithelial detachments or window defects.

A horizontal OCT section (C) acquired directly through the fovea illustrated an elevation of the neurosensory retina j above an optically clear space corresponding to a fluid-filled cavity . The height of the detachment directly beneath the fovea as measured directly from the OCT image was 210 |iiTL

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