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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 332 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 175 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 202 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 220 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 371 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 338 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 254 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 196 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 219 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 203 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 116 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 127 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 91 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 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_scvi15.png
Idiopathic Central Serous Retinopathy - Bilateral - Acute 72 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 103 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 83 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 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_scvi19.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_scvi20.png
Idiopathic Central Serous Retinopathy - Bilateral - Acute 72 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 71 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 59 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 95 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 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_scvi25.png
Idiopathic Central Serous Retinopathy - Bilateral - Acute 73 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 78 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 82 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 65 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 159 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 60 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 79 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 OU132 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 OU74 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 OU174 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 OU189 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 OU195 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.