Case 7-1Ü, Central Serous Chorioretinopathy
A 45-year-old man with a history of recurrent central serous chorioretinopathy had recently noticed a black spot in his left visual field. His visual acuity in the left eye on examination was 20/20; however, slit-lamp biomicroscopy (A) revealed a collection of subretinal fluid temporal to the optic disc. Fluorescein angiography (B) displayed a hyperfluorecent spot temporal to the disc which increased in intensity in late frames, A classic smokestack appearance of leakage was noted superior to this spot in the very late phase consistent with a diagnosis of central serous choriore ti n opa th y.
A sequence of horizontal tomograms (C) delineated the sensory retinal detachment which reached a maximum of 270 (im in the image. The subretinal fluid did not involve the fovea,
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