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49-year-old man was doing fine until about two weeks ago when he noticed he was having some difficulty with his vision. He closed his left eye and noticed the right eye was not seeing well. He sees a spot in the central vision with a red halo. He is healthy and his blood pressure is fine. He does not take any steroids. VISUAL ACUITY: Vision OD is 20/50, OS is 20/20. IOP: OD 17, OS 14. SLIT LAMP EXAM: Normal with clear lenses. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.1. There is no posterior vitreous separation. There is a pigment epithelial detachment on the inferotemporal margin of the fovea and there is a serous macular detachment. OS: Vertical C/D ratio is 0.1. There is no posterior vitreous separation. The macula and periphery look healthy. OCT SCAN: The right eye shows a pigment epithelial detachment and a serous macular detachment. The left eye had a normal scan. FLUORESCEIN ANGIOGRAPHY: FA of the right eye shows a leaky subfoveal pigment epithelial detachment with serous macular detachment. The left eye is angiographically normal. IMPRESSION: 1. CENTRAL SEROUS RETINOPATHY – RIGHT EYE DISCUSSION: I explained to the patient that he does have central serous retinopathy in the right eye. I asked him to return urgently should he notice any problems, such as substantial decline in vision. I asked him to avoid steroids unless it is absolutely necessary. Vision returned to 20/20 within 5 months and no recurrences over 2 years.

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Central Serous Retinopathy - Acute314 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/2000000
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Central Serous Retinopathy - Acute282 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/2000000
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Central Serous Retinopathy - Acute167 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/2000000
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Central Serous Retinopathy - Acute178 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/2000000
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Central Serous Retinopathy - Acute167 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/2000000
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Central Serous Retinopathy - Acute171 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/2000000
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Central Serous Retinopathy - Acute201 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/2000000
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Central Serous Retinopathy - Acute156 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/2000000
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Central Serous Retinopathy - Acute218 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/2000000
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csr_60031_28929.jpg
Central Serous Retinopathy - Acute168 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/2000000
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Central Serous Retinopathy - Acute208 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/2000000
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Central Serous Retinopathy - Acute510 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/2000000
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Central Serous Retinopathy - Acute359 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/2000000
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49-year-old man was doing fine until about two weeks ago when he noticed he was having some difficulty with his vision. He closed his left eye and noticed the right eye was not seeing well. He sees a spot in the central vision with a red halo. He is healthy and his blood pressure is fine. He does not take any steroids. VISUAL ACUITY: Vision OD is 20/50, OS is 20/20. IOP: OD 17, OS 14. SLIT LAMP EXAM: Normal with clear lenses. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.1. There is no posterior vitreous separation. There is a pigment epithelial detachment on the inferotemporal margin of the fovea and there is a serous macular detachment. OS: Vertical C/D ratio is 0.1. There is no posterior vitreous separation. The macula and periphery look healthy. OCT SCAN: The right eye shows a pigment epithelial detachment and a serous macular detachment. The left eye had a normal scan. FLUORESCEIN ANGIOGRAPHY: FA of the right eye shows a leaky subfoveal pigment epithelial detachment with serous macular detachment. The left eye is angiographically normal. IMPRESSION: 1. CENTRAL SEROUS RETINOPATHY – RIGHT EYE DISCUSSION: I explained to the patient that he does have central serous retinopathy in the right eye. I asked him to return urgently should he notice any problems, such as substantial decline in vision. I asked him to avoid steroids unless it is absolutely necessary. Vision returned to 20/20 within 5 months and no recurrences over 2 years.