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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 294 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.

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Idiopathic Central Serous Retinopathy - Bilateral - Acute 156 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.

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Idiopathic Central Serous Retinopathy - Bilateral - Acute 181 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.

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Idiopathic Central Serous Retinopathy - Bilateral - Acute 192 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.

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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.

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Idiopathic Central Serous Retinopathy - Bilateral - Acute 301 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.

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Idiopathic Central Serous Retinopathy - Bilateral - Acute 229 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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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
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 186 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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Idiopathic Central Serous Retinopathy - Bilateral - Acute 183 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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Idiopathic Central Serous Retinopathy - Bilateral - Acute 100 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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Idiopathic Central Serous Retinopathy - Bilateral - Acute 117 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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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
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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
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 64 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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Idiopathic Central Serous Retinopathy - Bilateral - Acute 96 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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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
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 66 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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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
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 61 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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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.

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Idiopathic Central Serous Retinopathy - Bilateral - Acute 49 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.

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csrbilat_scvi23.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
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 66 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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Idiopathic Central Serous Retinopathy - Bilateral - Acute 55 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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Idiopathic Central Serous Retinopathy - Bilateral - Acute 69 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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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
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 57 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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Idiopathic Central Serous Retinopathy - Bilateral - Acute 148 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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Idiopathic Central Serous Retinopathy - Bilateral - Acute 51 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.

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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.

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Idiopathic Central Serous Retinopathy - Bilateral - Acute 4 months later VA 20/40 OU113 viewsNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.00000
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 4 months later VA 20/40 OU66 viewsNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.00000
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 4 months later VA 20/40 OU165 viewsNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.00000
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 4 months later VA 20/40 OU180 viewsNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.00000
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Idiopathic Central Serous Retinopathy - Bilateral - Acute - 4 months later VA 20/40 OU181 viewsNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.00000
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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.