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49-year-old man was seen in the office on August 7, 2008. He has had decreasing vision in the left eye. It started about a week ago. He was having trouble focusing and then he noticed at a ball game his vision was worse and then this weekend he can hardly play golf. His right eye has been tired. He does work with table saws and things like that and it has been extremely difficult trying to work with only vision in one eye. He takes Atenolol and Zocor. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/400. IOP: OD 12, OS 13. The lenses are clear in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.4. There is no posterior vitreous separation. There is a serous retinal detachment inferior to the macula. OS: Vertical C/D ratio is 0.3. There is no posterior vitreous separation. There is a serous retinal detachment in the macula. OCT SCAN: I appreciate you sending the OCT scans, which do show a serous macular detachment inferior to the fovea in the right eye and centrally in the left eye. Photos confirm clinical findings. FLUORESCEIN ANGIOGRAM: FA does show one hot spot in the right eye and two hot spots in the left eye with leakage typical for central serous retinopathy. His blood pressure was 140/85. IMPRESSION: 1. IDIOPATHIC CENTRAL SEROUS RETINOPATHY – BOTH EYES DISCUSSION: I explained to the patient he does have central serous retinopathy and 95% of people with this do spontaneously improve, although it can take up to six months. I asked him to return for a check in six to eight weeks, sooner should he notice any problems.

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Idiopathic Central Serous Retinopathy - Bilateral - Acute 340 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
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(0 votes)
csrbilat_scvi02.png
Idiopathic Central Serous Retinopathy - Bilateral - Acute 178 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi03.png
Idiopathic Central Serous Retinopathy - Bilateral - Acute 205 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi04.png
Idiopathic Central Serous Retinopathy - Bilateral - Acute 226 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi05.png
Idiopathic Central Serous Retinopathy - Bilateral - Acute 375 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi06.png
Idiopathic Central Serous Retinopathy - Bilateral - Acute 342 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi07.png
Idiopathic Central Serous Retinopathy - Bilateral - Acute 260 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi08.jpg
Idiopathic Central Serous Retinopathy - Bilateral - Acute 201 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi09.jpg
Idiopathic Central Serous Retinopathy - Bilateral - Acute 224 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi10.jpg
Idiopathic Central Serous Retinopathy - Bilateral - Acute 211 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi11.jpg
Idiopathic Central Serous Retinopathy - Bilateral - Acute 120 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi12.jpg
Idiopathic Central Serous Retinopathy - Bilateral - Acute 130 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi13.png
Idiopathic Central Serous Retinopathy - Bilateral - Acute 94 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi14.png
Idiopathic Central Serous Retinopathy - Bilateral - Acute 86 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi15.png
Idiopathic Central Serous Retinopathy - Bilateral - Acute 74 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi16.png
Idiopathic Central Serous Retinopathy - Bilateral - Acute 105 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi17.png
Idiopathic Central Serous Retinopathy - Bilateral - Acute 85 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi18.png
Idiopathic Central Serous Retinopathy - Bilateral - Acute 76 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi19.png
Idiopathic Central Serous Retinopathy - Bilateral - Acute 87 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi20.png
Idiopathic Central Serous Retinopathy - Bilateral - Acute 76 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi21.png
Idiopathic Central Serous Retinopathy - Bilateral - Acute 75 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi22.png
Idiopathic Central Serous Retinopathy - Bilateral - Acute 63 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi23.png
Idiopathic Central Serous Retinopathy - Bilateral - Acute 99 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi24.png
Idiopathic Central Serous Retinopathy - Bilateral - Acute 88 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi25.png
Idiopathic Central Serous Retinopathy - Bilateral - Acute 75 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi26.png
Idiopathic Central Serous Retinopathy - Bilateral - Acute 81 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi27.png
Idiopathic Central Serous Retinopathy - Bilateral - Acute 84 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi28.png
Idiopathic Central Serous Retinopathy - Bilateral - Acute 67 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi29.png
Idiopathic Central Serous Retinopathy - Bilateral - Acute 161 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
33333
(1 votes)
csrbilat_scvi30.png
Idiopathic Central Serous Retinopathy - Bilateral - Acute 63 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi31.png
Idiopathic Central Serous Retinopathy - Bilateral - Acute 81 views49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.

VISUAL ACUITY: OD 20/30, OS 20/400
00000
(0 votes)
csrbilat_scvi32.jpg
Idiopathic Central Serous Retinopathy - Bilateral - Acute 4 months later VA 20/40 OU134 viewsNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.00000
(0 votes)
csrbilat_scvi33.jpg
Idiopathic Central Serous Retinopathy - Bilateral - Acute 4 months later VA 20/40 OU77 viewsNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.00000
(0 votes)
csrbilat_scvi34.jpg
Idiopathic Central Serous Retinopathy - Bilateral - Acute 4 months later VA 20/40 OU179 viewsNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.00000
(0 votes)
csrbilat_scvi35.jpg
Idiopathic Central Serous Retinopathy - Bilateral - Acute 4 months later VA 20/40 OU195 viewsNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.00000
(0 votes)
csrbilat_scvi36.jpg
Idiopathic Central Serous Retinopathy - Bilateral - Acute - 4 months later VA 20/40 OU201 viewsNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.00000
(0 votes)
36 files on 1 page(s)

49-year-old man was seen in the office on August 7, 2008. He has had decreasing vision in the left eye. It started about a week ago. He was having trouble focusing and then he noticed at a ball game his vision was worse and then this weekend he can hardly play golf. His right eye has been tired. He does work with table saws and things like that and it has been extremely difficult trying to work with only vision in one eye. He takes Atenolol and Zocor. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/400. IOP: OD 12, OS 13. The lenses are clear in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.4. There is no posterior vitreous separation. There is a serous retinal detachment inferior to the macula. OS: Vertical C/D ratio is 0.3. There is no posterior vitreous separation. There is a serous retinal detachment in the macula. OCT SCAN: I appreciate you sending the OCT scans, which do show a serous macular detachment inferior to the fovea in the right eye and centrally in the left eye. Photos confirm clinical findings. FLUORESCEIN ANGIOGRAM: FA does show one hot spot in the right eye and two hot spots in the left eye with leakage typical for central serous retinopathy. His blood pressure was 140/85. IMPRESSION: 1. IDIOPATHIC CENTRAL SEROUS RETINOPATHY – BOTH EYES DISCUSSION: I explained to the patient he does have central serous retinopathy and 95% of people with this do spontaneously improve, although it can take up to six months. I asked him to return for a check in six to eight weeks, sooner should he notice any problems.