Atypical chronic central serous chorioretinopathy with cystoid macular edema: Therapeutic response to medical and laser therapy

Jiun L Do; Lisa C Olmos de Koo; Hossein Ameri

doi:10.1016/j.joco.2017.01.004

Atypical chronic central serous chorioretinopathy with cystoid macular edema: Therapeutic response to medical and laser therapy

J Curr Ophthalmol. 2017 Feb 17;29(2):133-135. doi: 10.1016/j.joco.2017.01.004. eCollection 2017 Jun.

Authors

Jiun L Do¹, Lisa C Olmos de Koo¹, Hossein Ameri¹

Affiliation

¹ USC Roski Eye Institute, Department of Ophthalmology, Keck School of Medicine of the University of Southern California, Los Angeles, CA, United States.

Abstract

Purpose: To describe an atypical case of chronic central serous chorioretinopathy (CSCR).

Methods: A 58-year-old man with longstanding, bilateral visual impairment was self-referred for a second opinion.

Results: Findings by direct ophthalmoscopy, optical coherence tomography, fluorescein angiography, and fundus autofluorescence (FAF) were suggestive of atypical, chronic CSCR. Treatment with oral anti-mineralocorticoids resulted in moderate improvement, and photodynamic therapy (PDT) had minimal effect.

Conclusion: Chronic CSCR may lack cardinal features of CSCR. Once retinal degenerative changes ensue, current treatments may not be effective in improving anatomical and visual outcomes in patients with chronic CSCR.

Keywords: Central serous chorioretinopathy; Cystoid macular edema; Eplerenone; Photodynamic therapy.

Publication types

Case Reports