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38-year-old man was in the office on May 6, 2010. He has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. You saw him and suggested that he come here for an evaluation. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress. VISUAL ACUITY: OD 20/100, OS 20/50. IOP: OD 14, OS 13. SLIT EXAMINATION: Normal with clear lenses. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.0. There is no posterior vitreous separation. There is a serous macular detachment 2 disc-diameter across centered on the fovea. There is a pigment epithelial detachment on the inferior edge of the fovea. OS: Vertical C/D ratio is 0.0. There is no posterior vitreous separation. The macula and periphery look healthy. OCT SCAN: The OCT scan of the right eye shows a serous macular detachment. The left eye was normal. Photos confirm clinical findings. FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography shows the left eye to be completely normal. The right eye has hyperfluorescence pigment epithelial detachment inferior to the fovea with no discernable leakage. IMPRESSION: 1. CENTRAL SEROUS RETINOPATHY – RIGHT EYE DISCUSSION: I explained to the patient he does have central serous retinopathy in the left eye. There is a 95% chance his vision will substantially improve over the next three to six months, if not it is possible to treat him if necessary, but it is rarely needed. I did ask him to avoid steroids in the future unless absolutely necessary. He will return for a check in three months. Follow-up: 3 months later macula was totally dry and serous RD had resolved.

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Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachment130 views38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.

VISUAL ACUITY: OD 20/100, OS 20/50.
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(0 votes)
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Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachment105 views38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.

VISUAL ACUITY: OD 20/100, OS 20/50.
00000
(0 votes)
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Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachment172 views38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.

VISUAL ACUITY: OD 20/100, OS 20/50.
00000
(0 votes)
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Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachment140 views38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.

VISUAL ACUITY: OD 20/100, OS 20/50.
00000
(0 votes)
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Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachment65 views38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.

VISUAL ACUITY: OD 20/100, OS 20/50.
00000
(0 votes)
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Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachment71 views38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.

VISUAL ACUITY: OD 20/100, OS 20/50.
00000
(0 votes)
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Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachment65 views38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.

VISUAL ACUITY: OD 20/100, OS 20/50.
00000
(0 votes)
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Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachment41 views38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.

VISUAL ACUITY: OD 20/100, OS 20/50.
00000
(0 votes)
csrsteroids_tidu09.png
Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachment63 views38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.

VISUAL ACUITY: OD 20/100, OS 20/50.
00000
(0 votes)
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Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachment78 views38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.

VISUAL ACUITY: OD 20/100, OS 20/50.
00000
(0 votes)
csrsteroids_tidu11.png
Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachment99 views38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.

VISUAL ACUITY: OD 20/100, OS 20/50.
00000
(0 votes)
csrsteroids_tidu12.png
Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachment74 views38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.

VISUAL ACUITY: OD 20/100, OS 20/50.
00000
(0 votes)
csrsteroids_tidu13.png
Central Serous Retinopathy - Steroid Induced - Serous Retinal Detachment107 views38-year-old man has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress.

VISUAL ACUITY: OD 20/100, OS 20/50.
00000
(0 votes)
     
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38-year-old man was in the office on May 6, 2010. He has noticed a spot in the right eye. The vision was a little bit off for a few weeks and then just recently he noticed that it was the right eye. You saw him and suggested that he come here for an evaluation. He did take high dose oral steroids for about two weeks in early March and he was using an intermittent steroid inhaler, but he has not used anything recently. He is under a lot of stress. VISUAL ACUITY: OD 20/100, OS 20/50. IOP: OD 14, OS 13. SLIT EXAMINATION: Normal with clear lenses. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.0. There is no posterior vitreous separation. There is a serous macular detachment 2 disc-diameter across centered on the fovea. There is a pigment epithelial detachment on the inferior edge of the fovea. OS: Vertical C/D ratio is 0.0. There is no posterior vitreous separation. The macula and periphery look healthy. OCT SCAN: The OCT scan of the right eye shows a serous macular detachment. The left eye was normal. Photos confirm clinical findings. FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography shows the left eye to be completely normal. The right eye has hyperfluorescence pigment epithelial detachment inferior to the fovea with no discernable leakage. IMPRESSION: 1. CENTRAL SEROUS RETINOPATHY – RIGHT EYE DISCUSSION: I explained to the patient he does have central serous retinopathy in the left eye. There is a 95% chance his vision will substantially improve over the next three to six months, if not it is possible to treat him if necessary, but it is rarely needed. I did ask him to avoid steroids in the future unless absolutely necessary. He will return for a check in three months. Follow-up: 3 months later macula was totally dry and serous RD had resolved.