Chapter 7

Case 7-8. Central Serous Chorioretinopathy and Retinal Cyst

Clinical Summary

A 50-year-old man had experienced a sudden onset of vision loss one week prior to evaluation. On examination, his visual acuity was 20/40 in the right eye and slit-lamp biomicroscopy (A) showed a collection of subretinal fluid in the macula. A hyperfluorescent spot superotemporal to the fovea was identified on fluorescein angiography (B), consistent with central serous chorioretinopathy.

Optical Coherence Tomography

An OCT image (C) obtained superior to the fovea displayed the neurosensory detachment which had a height of 30 pm. A large intraretinal cyst was also visible temporal to the region of subretinal fluid accumulation.

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