Case 7-7. Central Serous Chorioretinopathy

Clinical Summary

A 39-year-old man noticed a brown spot in his left visual field four days earlier which was followed by reduced visual acuity and a brown discoloration in his superior visual field. His visual acuity was 20/50 in the left eye. Dilated fundus examination (A) revealed a pigment epithelial detachment inferonasal to the fovea with a collection of surrounding subretinal fluid. Fluorescein angiography (B) showed a hyperfluorescent region which increased in intensity but not size as the study progressed consistent with a pigment epithelial detachment.

Optical Coherence Tomography

OCT (C) confirmed the presence of broad neurosensory detachment surrounding a localized detachment of the pigment epithelium- As compared to the neurosensory detachment, the detached retinal pigment epithelium more deeply shadowed the reflected signal originating from the choroid below and exhibited sharper margins.

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