Central Serous Chorioretinopathy

Case 7-5 continued

Follow-up Examination

The patient returned approximately five months later and slit-lamp biomicroscopy (D) of the left eye demonstrated increased subretinal fluid in the superotemporal macula involving the fovea. The visual acuity had declined to 20/30.

Optical Coherence Tomography

A repeat vertical tomogram (E; white line on D) taken slightly temporal to the fovea showed that the two previous neurosensory detachments had coalesced and had increased in height to 140 Jim. Subretinal fluid was identified beneath the fovea. A horizontal image (F; black line on D) through the macula also displayed subretinal fluid accumulation temporal to and involving the fovea. The reflectivity from the photoreceptors beneath the fovea appeared increased.

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